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Thread: Workers Comp Consultation Codes

  1. #1

    Default Workers Comp Consultation Codes

    AAPC: Back to School
    The U.S. Department of Labor, Department of Workers Compensation has posted on their website that as of 3/1/10 they will no longer be accepting consultation codes in line with Medicare's recent ruling. Any consult codes after that date will be denied. Has anyone else heard about this and also does anyone know if that applies to each state's Workers Comp or does each state make their own rules? We are in Massachusetts. Any comments would be appreciated.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Each state work comp makes their own rules to a point but they do follow The US Dept of Labor rulings but it does not surprise me that they are going with Medicares new policy on consults. Most payers are heading in that direction.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    We are in PA and we also follow Medicare guidelines for consults for both work comp and auto.

  4. #4
    Join Date
    Apr 2007
    Mount Juliet, Tennessee


    Each State manages their own workers' compensation program. The rules and regulations vary from State to State. When a federal employee is injured on the job, the claims are handled by the US Dept of Labor, Dept of Workers' Comp and checks are cut by the US Treasury Dept. Being a division of the federal government, like CMS, it makes sense that they would adopt CMS guidelines on codes accepted. Hope this helps.

    Joyce V. Will, CPC
    Coding Compliance Consultant
    Vanderbilt University Medical Center
    Nashville, TN

  5. #5


    Thanks for all replies. Very much appreciated!

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