State of Connecticut Workers' Compensation Commission, John A. Mastropietro, Chairman
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WCC Practitioner Fee Schedule Changes - January 28, 2014


MEMORANDUM NO. 2014-01

TO: Commissioners, District Administrators, Advisory Board, Legal Advisory Panel, Medical Advisory Panel, Medical Practitioners, Self-Insureds, Insurance Carriers, Attorneys, and Unions
FROM: John A. Mastropietro, Chairman
DATE: January 28, 2014
RE: Changes for the 2013 Official Connecticut Practitioner Fee Schedule

The Workers' Compensation Commission has issued the following changes for the 2013 Official Connecticut Practitioner Fee Schedule:

DRUG SCREENING

Effective for dates of service beginning February 1, 2014, report urine drug screening using codes GO431 and G0434. These services are reported once per patient encounter. If a serum (blood) or other specimen sample is used, CPT codes 80100 and 80104 may be reported a maximum of two times per encounter and code 80101 may be reported a maximum of three times per encounter. The provider must indicate that serum/other specimen samples were tested rather than urine samples.

The values of HCPCS codes are:

GO431   $157.56
GO434     $31.52

CMS-1500 FORM

In anticipation of the October 1, 2014 adoption of the ICD-10-CM coding system, the CMS-1500 Form was revised. The CMS-1500 Form (02/12) version may now be used to report services to payers. As of April 1, 2014, only the (02/12) version should be used to report services. Both ICD-9-CM and ICD-10-CM codes are compatible with the CMS-1500 Form.


State of Connecticut Workers' Compensation Commission, John A. Mastropietro, Chairman
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State of Connecticut
Workers' Compensation Commission
Page last revised: January 28, 2014
Page URL: http://wcc.state.ct.us/memos/2014/2014-01.htm

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