Chapter 5221 - FEES FOR MEDICAL SERVICES

  1. Part 5221.0100 - DEFINITIONS
  2. Part 5221.0200 - AUTHORITY
  3. Part 5221.0300 - PURPOSE
  4. Part 5221.0400 - SCOPE
  5. Part 5221.0405 - INCORPORATIONS BY REFERENCE
  6. Part 5221.0410 - REQUIRED REPORTING AND FILING OF MEDICAL INFORMATION
  7. Part 5221.0420 - HEALTH CARE PROVIDER PARTICIPATION WITH RETURN TO WORK PLANNING
  8. Part 5221.0430 - CHANGE OF HEALTH CARE PROVIDER
  9. Part 5221.0500 - EXCESSIVE CHARGES; LIMITATION OF PAYER LIABILITY
  10. Part 5221.0550 - REPEALED
  11. Part 5221.0600 - PAYER RESPONSIBILITIES
  12. Part 5221.0650 - DATA COLLECTION, RETENTION, AND REPORTING REQUIREMENTS
  13. Part 5221.0700 - PROVIDER RESPONSIBILITIES
  14. Part 5221.0800 - REPEALED
  15. Part 5221.0900 - REPEALED
  16. Part 5221.1000 - REPEALED BY SUBPART
  17. Part 5221.1100 - REPEALED
  18. Part 5221.1200 - REPEALED
  19. Part 5221.1210 - REPEALED
  20. Part 5221.1215 - REPEALED
  21. Part 5221.1220 - REPEALED
  22. Part 5221.1300 - REPEALED
  23. Part 5221.1400 - REPEALED
  24. Part 5221.1410 - REPEALED
  25. Part 5221.1450 - REPEALED
  26. Part 5221.1500 - REPEALED
  27. Part 5221.1600 - REPEALED
  28. Part 5221.1600 - REPEALED, version 2
  29. Part 5221.1700 - REPEALED
  30. Part 5221.1800 - REPEALED
  31. Part 5221.1900 - REPEALED
  32. Part 5221.1950 - REPEALED
  33. Part 5221.2000 - REPEALED
  34. Part 5221.2050 - REPEALED
  35. Part 5221.2070 - REPEALED
  36. Part 5221.2100 - REPEALED
  37. Part 5221.2150 - REPEALED
  38. Part 5221.2200 - REPEALED
  39. Part 5221.2250 - REPEALED
  40. Part 5221.2300 - REPEALED
  41. Part 5221.2400 - REPEALED
  42. Part 5221.2500 - REPEALED BY SUBPART
  43. Part 5221.2600 - REPEALED BY SUBPART
  44. Part 5221.2650 - REPEALED
  45. Part 5221.2700 - REPEALED
  46. Part 5221.2750 - REPEALED
  47. Part 5221.2800 - REPEALED BY SUBPART
  48. Part 5221.2900 - REPEALED
  49. Part 5221.3000 - REPEALED BY SUBPART
  50. Part 5221.3100 - REPEALED
  51. Part 5221.3150 - REPEALED
  52. Part 5221.3155 - REPEALED
  53. Part 5221.3160 - REPEALED
  54. Part 5221.3200 - REPEALED
  55. Part 5221.3300 - REPEALED
  56. Part 5221.3310 - REPEALED
  57. Part 5221.3400 - REPEALED
  58. Part 5221.3500 - REPEALED
  59. Part 5221.4000 - REPEALED
  60. Part 5221.4005 - INSTRUCTIONS FOR APPLICATION OF FEE SCHEDULE
  61. Part 5221.4010 - EMPLOYER'S LIABILITY FOR SERVICES UNDER MEDICAL FEE SCHEDULE
  62. Part 5221.4020 - DETERMINING FEE SCHEDULE PAYMENT LIMITS
  63. Part 5221.4030 - MEDICAL/SURGICAL PROCEDURE CODES
  64. Part 5221.4032 - REPEALED
  65. Part 5221.4033 - OUTPATIENT LIMITATION FOR MEDICAL/SURGICAL FACILITY FEE
  66. Part 5221.4034 - REPEALED
  67. Part 5221.4035 - FEE ADJUSTMENTS FOR MEDICAL/SURGICAL SERVICES
  68. Part 5221.4040 - PATHOLOGY AND LABORATORY PROCEDURE CODES
  69. Part 5221.4041 - REPEALED
  70. Part 5221.4050 - PHYSICAL MEDICINE AND REHABILITATION PROCEDURE CODES
  71. Part 5221.4051 - FEE ADJUSTMENTS FOR PHYSICAL MEDICINE AND REHABILITATION SERVICES.
  72. Part 5221.4060 - CHIROPRACTIC PROCEDURE CODES
  73. Part 5221.4061 - FEE ADJUSTMENTS FOR CHIROPRACTIC SERVICES
  74. Part 5221.4062 - REPEALED
  75. Part 5221.4070 - PHARMACY
  76. Part 5221.6010 - AUTHORITY
  77. Part 5221.6020 - PURPOSE AND APPLICATION
  78. Part 5221.6030 - INCORPORATION BY REFERENCE
  79. Part 5221.6040 - DEFINITIONS
  80. Part 5221.6050 - GENERAL TREATMENT PARAMETERS; EXCESSIVE TREATMENT; PRIOR NOTIFICATION
  81. Part 5221.6100 - PARAMETERS FOR MEDICAL IMAGING
  82. Part 5221.6105 - MEDICATIONS
  83. Part 5221.6110 - LONG-TERM TREATMENT WITH OPIOID ANALGESIC MEDICATION
  84. Part 5221.6200 - LOW BACK PAIN
  85. Part 5221.6205 - NECK PAIN
  86. Part 5221.6210 - THORACIC BACK PAIN
  87. Part 5221.6300 - UPPER EXTREMITY DISORDERS
  88. Part 5221.6305 - COMPLEX REGIONAL PAIN SYNDROME (CRPS); REFLEX SYMPATHETIC DYSTROPHY; AND CAUS-ALGIA OF THE UPPER AND LOWER EXTREMITIES
  89. Part 5221.6400 - INPATIENT HOSPITALIZATION PARAMETERS
  90. Part 5221.6500 - PARAMETERS FOR SURGICAL PROCEDURES
  91. Part 5221.6600 - CHRONIC MANAGEMENT
  92. Part 5221.6700 - POST-TRAUMATIC STRESS DISORDER
  93. Part 5221.8900 - DISCIPLINARY ACTION; PENALTIES

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.