Worker’s Compensation

** IMPORTANT OMFS FEE SCHEDULE CHANGES TO BE AWARE OF (2019) **

“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!

 

 

PLEASE NOTE: The following table is for Los Angeles and Orange Counties. For other counties please call 213-387-4710 to confirm fee schedule.

 

**OMFS Fee Schedule effective for DOS on or after 01-01-19
CPT Description Work RVU PE RVU ME RVU 1st code 2nd codes
99202 E/M initial 0.93 1.14 0.08  $108.67
99203 E/M initial 1.42 1.49 0.14  $152.97
99204 E/M initial 2.43 1.99 0.21  $230.62
99212 E/M estab 0.48 0.75 0.04  $64.77
99213 E/M estab 0.97 1.05 0.07  $105.41
99214 E/M estab 1.50 1.46 0.10  $153.91
Modalities
97012
Traction 0.25 0.16 0.01  $20.94  $16.63
97026 Infrared 0.06 0.11 0.01  $9.13  $6.16
97032 TENS man 15 min 0.25 0.16 0.01  $20.94  $16.63
G0283 TENS unattended 0.18 0.23 0.01  $21.36  $15.16
Procedures
97110
Therap exercise 15 min 0.45 0.40 0.02  $43.81  $33.01
97112 Neuromusc re-educ 0.50 0.47 0.02  $49.98  $37.30
97124 Massage 15 min 0.35 0.45 0.01  $41.39  $29.25
97140 Man Therapy 15 min 0.43 0.35 0.01  $39.83  $30.39
97530 HEP 15 min 0.44 0.67 0.02  $57.90  $39.82
97535 Self-care, ADL 15 min 0.45 0.50 0.02  $49.20  $35.71
97810 Acup initial 15 min 0.60 0.39 0.04  $51.10  $40.57
97811 Acup add 15 min 0.50 0.25 0.03  $38.43  $31.68
97813 Electro-acup initial 15 min 0.65 0.44 0.04  $56.19  $44.32
97814 Electro-acup add 15 min 0.55 0.33 0.03  $45.14  $36.24