Mich. Admin. Code R. 418.101002 - Conversion factors for practitioner services
Rule 1002.
(1)
The agency shall determine the conversion factors for medicine, evaluation and
management, physical medicine, surgery, pathology, and radiology procedures.
The conversion factor is used by the agency for determining the maximum
allowable payment for medical, surgical, and radiology procedures. The maximum
allowable payment is determined by multiplying the appropriate conversion
factor by the relative value unit assigned to a procedure. The relative value
units are provided for the medicine, surgical, and radiology procedure codes
separate from these rules on the agency's website,
www.michigan.gov/leo/bureaus-agencies/wdca.
The relative value units are updated by the agency using codes adopted from
"Current Procedural Terminology (CPT)" as adopted by reference in
R 418.10107. The agency shall
determine the relative values by using information found in the "Medicare
RBRVS: The Physicians' Guide" as adopted by reference in
R 418.10107.
(2) The conversion factor for medicine,
radiology, and surgical procedures is $47.66 for the year 2023 and is effective
for dates of service on or after the effective date of these rules.
Notes
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