The following words and terms when used in this chapter shall
have the following meanings unless the context clearly indicates
otherwise:
"Commission" means the Virginia Workers' Compensation
Commission.
"Community" means one of the six medical communities as
defined in §
65.2-605A of
the Code of Virginia.
"Ground rules"
1.
For medical services rendered during the period from January 1, 2018, through
December 31, 2019, means the 2018 Medical Fee Schedule Ground Rules adopted by
the commission on June 13, 2017, and revised on July 18, 2019, incorporated by
reference in this chapter and available on the commission's website at
https://www.workcomp.virginia.gov/documents/2018-mfs-ground-rules.
2. For medical services rendered during the
period from January 1, 2020, through December 31, 2021, means the 2020 Medical
Fee Schedule Ground Rules adopted by the commission on July 18, 2019, and
revised on October 17, 2019, incorporated by reference in this chapter and
available on the commission's website at
https://www.workcomp.virginia.gov/documents/2020-medical-fee-schedules-ground-rules.
3. For medical services rendered during the
period from January 1, 2022, through December 31, 2023, means the 2022 Medical
Fee Schedule Ground Rules adopted by the commission on June 29, 2021,
incorporated by reference in this chapter and available on the commission's
website at
https://www.workcomp.virginia.gov/documents/2022-medical-fee-schedules-ground-rules.
4. For medical services rendered during the
period from January 1, 2024, through December 31, 2025, means the 2024 Medical
Fee Schedule Ground Rules adopted by the commission on August 17, 2023,
incorporated by reference in this chapter and available on the commission's
website at
https://www.workcomp.virginia.gov/medical-fee-services/2024-medical-fee-schedules-ground-rules.
"Medical services" means any medical, surgical or hospital
service required to be provided to an injured person pursuant to Title 65.2 of
the Code of Virginia, exclusive of a medical service provided in the treatment
of a traumatic injury or serious burn as those terms are defined in §
65.2-605A of
the Code of Virginia.
"Virginia fee schedules"
1. For medical services rendered during the
period from January 1, 2018, through December 31, 2019, means the 2018 Medical
Fee Schedules adopted by the commission on June 13, 2017, and revised on
November 14, 2017, incorporated by reference in this chapter and available on
the commission's website at
https://www.workcomp.virginia.gov/content/2018-medical-fee-schedule.
2. For medical services rendered during the
period from January 1, 2020, through December 31, 2021, means the 2020 Medical
Fee Schedules adopted by the commission on July 18, 2019, and revised on
October 17, 2019, incorporated by reference in this chapter and available on
the commission's website at
https://www.workcomp.virginia.gov/content/2020-virginia-medical-fee-schedules.
3. For medical services rendered during the
period from January 1, 2022, through December 31, 2023, means the 2022 Medical
Fee Schedules adopted by the commission on June 29, 2021, incorporated by
reference in this chapter and available on the commission's website at
https://www.workcomp.virginia.gov/content/2022-virginia-medical-fee-schedules.
4. For medical services rendered during the
period from January 1, 2024, through December 31, 2025, means the 2024 Medical
Fee Schedules adopted by the commission on August 17, 2023, incorporated by
reference in this chapter and available on the commission's website at
https://www.workcomp.virginia.gov/medical-fee-services/2024-medical-fee-schedules.
