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. For additional details
and assistance, please visit: : https://www.cms.gov/Medicare/Coding/ICD10,
Medical Fee Guide (MFG) materials provided exclude procedure descriptors. You
may verify correct CPT/descriptors at the American Medical Association website:
https://ocm.ama-assn.org/OCM/CPTRelativeValueSearch.do. 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.
Spotlight – IME’s
Periodically, the Commission will spotlight a regulation
or part of a regulation to showcase a change or merely
to remind the community of what a regulation actually
says (as opposed to what we think it says). Click for the December 13th
Services CPT codes 99441 – 99443 have been updated in the
2020 Medical Fee Guide.
ASC Implants: To facilitate
the processing of Claim for Medical Services (form C-51) in a more
efficient manner, the ASC should document the exact implants and
number of implants used with invoices for the implants. Implants used should be documented in the body of the
operative report and noted in a separate paragraph at the end of
the operative report.
The Regulation, Rates &
Adobe Reader PDF format unless otherwise
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 2018 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.
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
CPT® is a registered trademark of
the American Medical Association.