Forum - Questions & Answers

Dec 6th, 2013 - rfiore 1 

workmen's comp

Can WC in Illinois be billed for an OV and 99455 on the same day?

Dec 13th, 2013 - Tricia101 6 

re: workmen's comp

This guideline is included for all states - 99455/99456 includes the E/M portion of the eval and the report. 99080 can not be billed separately.

Further clarification:
99455 is reported when the primary treating physician performs the eval/exam.
99456 is reported by a physician that is not the primary treating physician.

FEE SCHEDULE ALLOWANCES:
2013 Professional Services IL01 99455 $349.36
2013 Professional Services IL02 99455 $280.09
2013 Professional Services IL03 99455 $108.76
2013 Professional Services IL04 99455 $147.79

2013 Professional Services IL01 99456 $561.90
2013 Professional Services IL02 99456 $567.67
2013 Professional Services IL03 99456 POC53.2 (paid at 53.2% of charge)
2013 Professional Services IL04 99456 $541.01



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association