Forum - Questions & Answers
workmen's comp
Can WC in Illinois be billed for an OV and 99455 on the same day?
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