Code of Federal Regulations (Last Updated: July 5, 2024) |
Title 20 - Employees' Benefits |
Chapter I - Office of Workers' Compensation Programs, Department of Labor |
SubChapter B - Federal Employees' Compensation Act |
Part 10 - Claims for Compensation Under the Federal Employees' Compensation Act, as Amended |
Subpart I - Information for Medical Providers |
Medical Fee Schedule |
§ 10.806 - How are the maximum fees defined?
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§ 10.806 How are the maximum fees defined?
For professional medical services, the Director shall maintain a schedule of maximum allowable fees for procedures performed in a given locality. The schedule shall consist of: An assignment of Relative Value Units (RVU) to procedures identified by Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) code which represents the relative skill, effort, risk and time required to perform the procedure, as compared to other procedures of the same general class; an assignment of Geographic Practice Cost Index (GPCI) values which represent the relative work, practice expenses and malpractice expenses relative to other localities throughout the country; and a monetary value assignment (conversion factor) for one unit of value for each coded service.