For services provided on or after October 1, 2015, Medicare
requires that healthcare providers must use valid ICD-10 Codes.
The transition to ICD-10 is required for everyone covered by the
Health Insurance Portability Accountability Act (HIPAA). Please
note, the change to ICD-10 does not affect CPT coding for
outpatient procedures and physician services. The Commission
encourages healthcare providers and payers to engage in a
dialogue as to implementation timeframes. For additional details
and assistance, please visit:
methodologies implemented/effective March 2008 and March 2012. Values are
effective for date of service by calendar year.
For an overview
of 2008 changes, see this presentation in Adobe® Reader PDF
Medical Fee Guide (MFG) materials provided exclude procedure descriptors.
may verify correct CPT/descriptors at the American Medical Association website:
CMS payment information or other unrelated details not relevant
to our MFG may be included in CMS search results.
All questions regarding the MD WCC Medical Fee Schedule should be sent via email: firstname.lastname@example.org or via telephone
(410) 864-5320; outside Baltimore Metro area toll free (800) 492-0479 selecting extension 5320 when prompted, during normal business hours.
COMAR 14.09.01.31 establishes our hours of business: Monday - Friday, 8:00 a.m. to 4:30 p.m., except legal holidays.
The Regulation, Rates &
Related Documents (All
Adobe® Reader PDF format unless otherwise
Maryland Specific Conversion Factor (MSCF) /
Percentage Multiplier information
How to obtain or calculate reimbursement
NOTICE: The five character codes included in the Maryland Workers' Compensation Commission Guide of Medical and Surgical Fees are obtained from Current Procedural Terminology (CPT®), copyright 2010 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians.
The responsibility for the content of the Maryland Workers' Compensation Commission Guide of Medical and Surgical Fees is with the MD WCC and no endorsement of the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in the Maryland Workers' Compensation Commission Guide of Medical and Surgical Fees. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Any use of CPT outside of the Maryland Workers' Compensation Commission Guide of Medical and Surgical Fees should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Applicable FARS/DFARS apply.
CPT is a registered trademark of the American Medical Association.