Public Use File Directory Medical Fee Schedule, Effective May 16, 2004 - OWCP - U.S. Department of Labor

U.S. Department of Labor

Office of Workers' Compensation Programs

Medical Fee Schedule, Effective May 16, 2004

Public Use File Directory:

The OWCP fee schedule, effective May 16, 2004 is being offered in electronic format only. There are eleven files, altogether: nine files are in Microsoft® EXCEL; and two files are in Microsoft® WORD.

AMA CPT*, ADA** Dental, HCPCS, and OWCP codes are listed.

Note: Most of these files are formatted in "landscape." When printing hard copies, retrieve into the correct format to avoid wrapping the tables.

File Name Description

1. Effective_05.16.04_ccr04.xls Cost to charge ratio tables for inpatient non-PPS hospital services

2. Effective_05.16.04_asc_pymt_grp.xls List of surgical procedures allowable for facility fee payment to Ambulatory Surgical Center

3. Effective_05.16.04_code_rvu_cf.xls CPT, HCPCS, ADA & OWCP codes with RVU and conversion factors

4. Effective_05.16.04_ctst.xls County and State FIPS codes crosswalk to MSA

5. Effective_05.16.04_gpci.xls Geographic Practice Cost Indices by MSA

6. Effective_05.16.04_gpci-by-zip.xls Geographic Practice Cost Indices by ZIP code

7. Effective_05.16.04_mods.xls Modifier level tables and modifiers

8. Effective_05.16.04_modt.xls Modifier level table for quick reference

9. Effective_05.16.04_rcc.xls RCC codes 240 -- 989

10. Effective_05.16.04_instructions.doc Introduction and explanation of OWCP fee schedule

11. Public Use File directory; effective_05.16.04_.doc This document

For additional information, contact Stephen Schmidt at the Division of Planning, Policy and Standards, Branch of Medical Standards and Rehabilitation.

Phone: (202) 693-0969

Fax: (202) 693-1378

Email: Schmidt.Stephen@dol.gov

* American Medical Association, copyright 2003 (CY 2004), all rights reserved.

** American Dental Association, copyright 1999 (CY 2000), all rights reserved.