2016 MARFS

Fee Schedules

Effective July 1, 2016.

This site contains the policies, payment methods, billing codes, and maximum fees used to pay health care and vocational providers who treat injured workers.

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Make sure to check the Updates & Corrections tab for any changes to the Fee schedules. Read about the highlights of changes in the last year. These changes are also included in the payment policies.

graphic of PDF icon 2016 Quick Reference Fee Schedule

Professional and Facility Services Fee Schedules (July 2016)
Item
Excel
Professional Services Fee Schedule – Excel spreadsheet of the complete fee schedule excluding the ASC Fees, AP-DRGs, Hospital Rates and Residential Facility Rates. 2.03 MB
Item
PDF graphic of PDF icon
Anesthesia - CPT ™ 00100 - 01999 381 KB
Evaluation and Management - CPT ™ 99201 - 99499 500 KB
Surgery - CPT ™ 10021 - 69990 8.13 MB
Radiology - CPT ™ 70010 - 79999 2.80 MB
Pathology and Laboratory - CPT ™ 80047 - 89356 2.46 MB
Medicine - CPT ™ 90281 - 99607 2.23 MB
CPT ™ Category II and III - CPT ™ 0001F - 0192T 1.34 MB
HCPCS - HCPCS A0021 - V5364 9.74 MB
Medical and Surgical Supplies Codes - HCPCS A4206-A9999
(For DME Providers)
934 KB
Facility Only Codes - C1300 - S0093 634 KB
Local Codes by Code - 0401A - 5093V, R0310 - R0392, & V0028 260 KB
Local Codes by Specialty - 0401A - 5093V, R0310 - R0392, & V0028 352 KB
ASC Fee Schedules - All approved codes 815 KB
APR-DRG Assignment - Version 31 559 KB
Hospital Rates 249 KB
Residential Facility Rates 41 KB

Fee Schedules - Comma delimited version graphic of CSV icon Field Key graphic of PDF icon
Complete fee schedule excluding the ASC Fees, AP-DRGs, Hospital Rates and Residential Facility Rates. 1.41 MB 10 KB
Anesthesia 26 KB 12 KB
Ambulatory Surgery Center 104 KB 76 KB
APR-DRG 91 KB 101 KB
Hospital 14 KB 185 KB

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