Physicians and non-physician practitioners shall use the “California Specific Codes” listed below. Maximum reasonable fees for services performed by physicians and non-physician practitioners within their scope of practice shall be no more than the fee listed in section 9789.19, by date of service. The fees shall be updated annually in accordance with the Medicare Economic Index.

CA Code

Procedure

WC001

Doctor's First Report of Occupational Illness or Injury (Form 5021) (Section 9789.14(a)(1))

WC002

Treating Physician's Progress Report (PR-2 or narrative equivalent in accordance with § 9785) (Section 9789.14(b)(1))

WC003

Primary Treating Physician's Permanent and Stationary Report (Form PR-3) (Section 9789.14(b)(2))

WC004

Primary Treating Physician's Permanent and Stationary Report (Form PR-4) (Section 9789.14(b)(3))

WC005

Psychiatric Report requested by the WCAB or the Administrative Director, other than medical-legal report. Use modifier -32 (Section 9789.14(b)(4))

WC006

[Reserved]

WC007

Consultation Reports Requested by the Workers' Compensation Appeals Board or the Administrative Director (Use modifier -32) Consultation Reports requested by the QME or AME in the context of a medical-legal evaluation (Section 9789.14(b)(5)). (Use modifier -30)

WC008

Chart Notes (Section 9789.14(c))

WC009

Duplicate Reports (Section 9789.14(d))

WC010

Duplication of X-Ray

WC011

Duplication of Scan

WC012

Missed Appointments. This code is designated for communication only. It does not imply that compensation is owed.

Note: Authority: Sections 133, 4603.5, 5307.1 and 5307.3, Labor Code. Reference: Sections 4600, 5307.1 and 5307.11, Labor Code.

History

1. New section filed 9-24-2013; operative 1-1-2014. Submitted to OAL as a file and print only pursuant to Government Code section 11340.9(g) (Register 2013, No. 39).