Workers compensation medical fee limits
What official workers compensation medical payment limits apply by service, setting, jurisdiction, and effective date?
The data that answers it
Ranked by fit · best firstCalifornia DWC's Official Medical Fee Schedule is the official maximum-payment schedule for medical services required to treat work-related injuries and illnesses. It covers physician, ambulance, DMEPOS, inpatient, outpatient/ASC, laboratory, and pharmaceutical services, and publishes effective-date-pinned formulas and locality/county adjustment tables for arbitrary treatment and geography lookups in US-CA.
Florida DWC publishes the official annual Health Care Provider Fee Schedule for US-FL, with each edition labeled by schedule year and explicit effective date. The documented CPT click-through names the workers' compensation schedule and confirms fee schedules, RVUs, and conversion factors; eligible Florida DWC participants obtain the reusable full schedule outside any live claim.
The New York State Workers' Compensation Board publishes official specialty medical fee schedules used to pay participating providers and provides a standing RefMed purchase channel for editioned medical, therapy, behavioral-health, chiropractic, and podiatry schedule data files, eBooks, and booklets.
Washington L&I publishes an annual workers' compensation Professional Services Fee Schedule workbook with service code, modifier, facility and non-facility fee values, component and authorization indicators, schedule date, and correction history. The complete versioned workbook is openly downloadable for arbitrary code lookups in US-WA.
Colorado DWC Rule 18 is the official US-CO workers' compensation Medical Fee Schedule, setting maximum allowable fees through published service sections, conversion factors, facility/non-facility RVU formulas, adopted code families, and modifiers. Current and archived official versions are keyed by effective date.
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