20 C.F.R. · Employees' Benefits
20 C.F.R. § 30.706

How are the maximum fees for professional medical services defined?

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20 C.F.R. § 30.706 — How are the maximum fees for professional medical services defined?

§ 30.706 How are the maximum fees for professional medical services defined? For professional medical services, OWCP shall maintain a schedule of maximum allowable fees for procedures performed in a given locality. The schedule shall consist of: An assignment of a Relative Value Unit (RVU) to procedures identified by 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. [84 FR 3055, Feb. 8, 2019]

Source: ecfr.gov · govinfo.gov — public domain Official Source ↗
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20 C.F.R. § 30.706
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