1. (a) A fee or other charge for medical treatment or service may not exceed the maximums in AS 23.30.097. The fee or other charge for medical treatment or service

   1. (1) provided on or after December 1, 2015, but before April 1, 2017, may not exceed the fee schedules set out in (b) - (l) of this section;
   2. (2) provided on or after April 1, 2017, but before January 1, 2018, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, effective April 1, 2017, and adopted by reference;
   3. (3) provided on or after January 1, 2018, but before January 1, 2019, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, effective January 1, 2018, and adopted by reference;
   4. (4) provided on or after January 1, 2019, but before January 1, 2020, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, effective January l, 2019, and adopted by reference;
   5. (5) provided on or after January 1, 2020, but before January 1, 2021, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, effective January 1, 2020, and adopted by reference;
   6. (6) provided on or after January 1, 2021, but before February 24, 2022, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, effective January 1, 2021, and adopted by reference;
   7. (7) provided on or after February 24, 2022, but before January 29, 2023, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, January 1, 2022 edition, and adopted by reference;
   8. (8) provided on or after January 29, 2023, but before January 1, 2024, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, January 1, 2023 edition, and adopted by reference;
   9. (9) provided on or after January 1, 2024, but before January 1, 2025, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, January 1, 2024 edition, and adopted by reference;
   10. (10) provided on or after January 1, 2025, but before April 1, 2026, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, January 1, 2025 edition, and adopted by reference;
   11. (11) provided on or after April 1, 2026, may not exceed the maximum allowable reimbursement established in the Official Alaska Workers' Compensation Medical Fee Schedule, April 1, 2026 edition, and adopted by reference.
2. (b) Repealed 4/1/2026.
3. (c) Repealed 4/1/2026.
4. (d) Repealed 4/1/2026.
5. (e) Repealed 4/1/2026.
6. (f) Repealed 4/1/2026.
7. (g) Repealed 4/1/2026.
8. (h) Repealed 4/1/2026.
9. (i) Repealed 4/1/2026.
10. (j) Repealed 4/1/2026.
11. (k) Repealed 4/1/2026.
12. (l) Repealed 4/1/2026.

13. (m) The following material is adopted by reference:

    1. (1) Current Procedural Terminology Codes, 2015 edition, produced by the American Medical Association, as may be amended;
    2. (2) Healthcare Common Procedure Coding System, 2015 edition, produced by the federal Centers for Medicare and Medicaid Services, as may be amended;
    3. (3) International Classification of Diseases, 10th Revision, Clinical Modification, developed by the National Center for Health Statistics, as may be amended;
    4. (4) Relative Value Guide, 2015 edition, produced by the American Society of Anesthesiologists, as may be amended;
    5. (5) Diagnostic and Statistical Manual of Mental Disorders, 5th edition, produced by the American Psychiatric Association, as may be amended;
    6. (6) Current Dental Terminology, 2015 edition, published by the American Dental Association, as may be amended;
    7. (7) Resource-Based Relative Value Scale, effective January 1, 2015, produced by the federal Centers for Medicare and Medicaid Services, as may be amended;
    8. (8) Ambulatory Payment Classifications, effective January 1, 2015, produced by the federal Centers for Medicare and Medicaid Services, as may be amended;
    9. (9) Medicare Severity Diagnosis Related Groups, effective January 1, 2015, produced by the federal Centers for Medicare and Medicaid Services, as may be amended;
    10. (10) Hospital Outpatient Prospective Payment System, produced by the federal Centers for Medicare and Medicaid Services;
    11. (11) Clinical Diagnostic Laboratory Services, produced by the federal Centers for Medicare and Medicaid Services, as may be amended;
    12. (12) Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, produced by the federal Centers for Medicare and Medicaid Services, as may be amended;
    13. (13) Payment Allowance Limits for Medicare Part B Drugs, Average Sale Price, produced by the federal Centers for Medicare and Medicaid Services, as may be amended;
    14. (14) Ambulance Fee Schedule, produced by the federal Centers for Medicare and Medicaid Services, as may be amended;
    15. (15) 42. .F.R. 412.84 and 412.525, revised as of October 1, 2024.
14. (n) Repealed 4/1/2026.
15. (o) The adoption by reference in (a) of this section of an edition of the Official Alaska Workers' Compensation Medical Fee Schedule includes the applicable conversion factors, multipliers, modifiers, and other requirements for reimbursement for services during the period to which the edition applies.

(Eff. 12/1/2015, Register 216; am 3/11/2016, Register 217; am 4/1/2017, Register 221; am 1/1/2018, Register 224; am 1/1/2019, Register 228; am 5/12/2019, Register 230; am 12/21/2019, Register 232; am 1/1/2021, Register 236; am 2/24/2022, Register 241; am 1/29/2023, Register 245; am 1/1/2024, Register 248; am 1/1/2025, Register 252)