- (a) Payment for the services of the Independent Medical Reviewers shall be made by the employer or insurer.
- (b) The fee shall be based on the Official Medical Fee Schedule using confirmatory consultation codes (99271 through 99275 for in-person examinations or 99271 through 99273 for evaluations not requiring an in-person examination), 99080 for reports, and 99358 for record reviews, and any other appropriate codes or modifiers.
- (c) An IMR shall not accept any additional compensation from any source for his or her services as an IMR except for services provided to treat a medical emergency that arose during an in-person examination pursuant to section 9768.11(j).
Note: Authority cited: Sections 133 and 4616, Labor Code. Reference: Section 4616.4, Labor Code.
History
1. New section filed 12-31-2004 as an emergency; operative 1-1-2005 (Register 2004, No. 53). A Certificate of Compliance must be transmitted to OAL by 5-2-2005 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 12-31-2004 order, including amendment of subsections (a) and (b), transmitted to OAL 4-29-2005 and filed 6-10-2005 (Register 2005, No. 23).