2017 MARFS

Updates and Corrections

On this page, view the following:

Updates

Payment policy updates
Payment Policy Updates
Posting date Policy Area Description
11/28/2017 Vocational Services Chapter 30: Vocational Services was updated to reflect Option 2 policy changes effective October 20, 2017.  These changes can be seen in the attached PDF.
11/28/2017 Interpretive Services

Effective January 1, 2018, for State Fund claims, vocational providers may use over-the-phone interpreters to speak with injured workers with limited English proficiency.
Vocational providers who use telephone interpretation services must use CTS Language Link, the company contracted through the Department of Enterprise Services. (For more information, see Chapter 14: Interpretive Services.)
Vocational providers can request L&I telephone interpretation services at:

When requesting interpretation services, the vocational provider must give:

  • Vocational provider name
  • Organization name
  • Claim number
  • Worker’s name
  • Language needed

CTS bills L&I using the billing code 9979M.

11/29/2017 Interpretive Services Effective January 1, 2018, the fee for sign language interpretation is $1.35 per minute. Sign language interpreters should use code 9978M to bill for direct services between the worker and health care provider, including time spent waiting or completing forms.

Fee schedules updates
Fee Schedule Updates
Posting date Description Updated Version
12/12/2017 DELETED Procedure Codes - Invalid after December 31, 2017. PFS_Jan_2018_deletedcodes
11/29/2017 Effective January 1, 2018, the fee for sign language interpretation is $1.35 per minute. Sign language interpreters should use code 9978M to bill for direct services between the worker and health care provider, including time spent waiting or completing forms.
8/31/2017 L&I has published the Clinical Practice Guideline for Foot and Ankle Diagnosis and Treatment.  Per that guideline, effective October 1, 2017, the following codes will require Utilization Review.

27610

27690

28111

28232

28725

27612

27691

28112

28234

28730

27620

27695

28113

28236

28735

27625

27696

28114

28238

28737

27626

27698

28116

28285

28740

27650

27700

28118

28289

28750

27652

27702

28119

28292

28755

27654

27703

28120

28296

28760

27658

27704

28122

28297

29891

27659

27705

28124

28298

29892

27664

27707

28200

28299

29894

27665

27709

28202

28300

29895

27675

27870

28208

28302

29897

27676

27871

28210

28304

29898

27680

28020

28220

28305

29899

27681

28022

28222

28306

29904

27685

28024

28225

28308

29905

27686

28035

28226

28705

29906

27687

28110

28230

28715

29907

 

6/15/2017 Two errors appeared in the original publishing of the fee schedule effective July 1, 2017.
27279 is a covered code with both Non-Facility and Facility fees of $1246.03. 
99367 has a Non-Facility fee of $157.86 and a Facility fee of $111.97.
All spreadsheets have been updated to reflect this correction.

Corrections

Payment policies corrections
Payment Policy Corrections
Posting Date Policy Area Description
     

Fee schedule corrections
Fee Schedules Corrections
Posting Date Description Updated Version
11/22/2017 An error appeared in the original publishing of the July 1, 2017 fee schedule.
Effective July 1, 2017, the J0587 maximum fee (for both Non-Facility and Facility fees) is $11.75.  The fee schedule has been updated to reflect this correction.
N/A

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