Mich. Admin. Code R. 418.101503 - Laboratory procedure codes and maximum allowable payments
Rule 1503.
(1) The
workers' compensation agency shall determine the maximum allowable payment for
the laboratory procedure codes found in the CPT and HCPCS codebooks, as adopted
by reference in R418.10107. The rate shall be determined by multiplying the
Medicare rate established for this state by 110%.
(2) The pathology procedure codes found in
the 80000 series of the CPT code set have assigned relative values and shall be
provided on the agencys website at www.michigan.gov/wca.
(3) The maximum allowable payments for the
laboratory and pathology procedures shall be provided on the agencys website,
www.michigan.gov/wca.
(4) A provider performing drug testing, drug
screening, and drug confirmation testing shall use the appropriate procedure
codes G0480-G0483, G0659, or 80305-80307 listed in the HCPCS or CPT codebook,
as adopted by reference in R418.10107. A maximum of one service unit per
procedure code per date of service shall be billed with these codes.
Notes
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