Worker’s Compensation

** IMPORTANT OMFS FEE SCHEDULE CHANGES TO BE AWARE OF (2017) **

“Cascading reimbursement” have been replaced since 01/01/14 by Multiple Procedure Payment Reduction (MPPR)

See table below: Thank you, Dr. Kevin Uchida, for your input!

**OMFS Fee Schedule effective for DOS on or after 03-01-17
CPT Description Work RVU PE RVU ME RVU 1st code 2nd codes
99202 E/M initial 0.93 1.1 0.08 $102.77
99203 E/M initial 1.42 1.48 0.15 $147.38
99204 E/M initial 2.43 1.99 0.22 $222.41
99212 E/M estab 0.48 0.71 0.04 $60.40
99213 E/M estab 0.97 1.01 0.07 $100.18
99214 E/M estab 1.5 1.43 0.1 $147.02
Modalities
97012
Traction 0.25 0.19 0.01 $22.32 $17.12
97026 Infrared 0.06 0.1 0.01 $8.28 $5.68
97032 TENS man 15 min 0.25 0.28 0.01 $26.47 $19.20
G0283 TENS unattended 0.18 0.2 0.01 $19.06 $13.86
Procedures
97110
Therap exercise 15 min 0.45 0.44 0.02 $44.90 $33.21
97112 Neuromusc re-educ 0.45 0.48 0.01 $46.98 $34.25
97124 Massage 15 min 0.35 0.38 0.02 $36.32 $26.45
97140 Man Therapy 15 min 0.43 0.4 0.01 $41.60 $30.95
97530 HEP 15 min 0.44 0.53 0.01 $48.82 $34.79
97535 Self-care, ADL 15 min 0.45 0.52 0.01 $48.54 $35.03
97810 Acup initial 15 min 0.6 0.39 0.04 >>>$49.35
97811 Acup add 15 min 0.5 0.24 0.03 >>>$30.38
97813 Electro-acup initial 15 min 0.65 0.41 0.04 >>>$52.72
97814 Electro-acup add 15 min 0.55 0.29 0.03 >>>$34.01