U.S. Department of Labor

Office of Workers' Compensation Programs

Medical Fee Schedule, August 17, 2015

Public Use File Directory:

The OWCP fee schedule effective August 17, 2015 is being offered in electronic format only. There are twelve files, altogether: eight files are in Microsoft® EXCEL; and four files are in Microsoft® WORD.

AMA CPT©, ADA CDT©, and HCPCS codes are listed.

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

File Name Description

1. Effective_August_14_2015_Public_Use_File_directory.doc This document

2. Effective_August_14_2015_Read_Me_ First_instructions.doc Introduction and explanation of OWCP fee schedule

3. Effective_August_14_2015_Anesthesia_Services_Policy.doc Detailed instruction for Anesthesia services.

4. Effective_August_14_2015_Anesthesia_Tables.xls List of anesthesia Procedure codes with base units, zip-code conversion factors and anesthesia modifiers

5. Effective_August_14_2015_Ambulatory_Surgery_Centers_Payment_Policy Detailed instructions for free-standing ambulatory surgery centers

6. Effective_August_14_2015__ASC_Pymt_Grp.xls List of surgical procedures allowable for facility fee payment to Ambulatory Surgical Center

7. Effective_August_14_2015_CCR.xls Cost to charge ratio tables for inpatient non PPS hospital services

8. Effective_August_14_2015_RCC_Req_CPT.xls RCC codes requiring CPT/HCPCS/OWCP codes for outpatient hospital services

9. Effective_August_14_2015__Code_RVU_CF.xls CPT, HCPCS, ADA & OWCP codes with RVU and conversion factors

10. Effective_August_14_2015_GPCI_By_MSA.xls Geographic Practice Cost Indices by MSA

11. Effective_August_14_2015__GPCI_By_Zip.xls Geographic Practice Cost Indices by ZIP code

12. Effective_August_14_2015_Mod_Table.xls Modifier level table for quick reference

For additional information, contact the Division of Administration and Operations (DAO), Branch of Medical Standards and Rehabilitation.

Phone/Fax: (202) 354-9648

CPT© American Medical Association, copyright 2015, all rights reserved.

CDT© American Dental Association, copyright 2015, all rights reserved.