<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 14.09.08.05" title_num="14" subtitle_num="09" chapter_num="08" heading="Guidelines for Using Values and Codes.">
  <paragraph num="A.">
    <text>The Maryland Workers' Compensation Act, implementing regulations, policies, and guidelines shall take precedence over any conflicting provision adopted or utilized by CMS in administering the CMS program.</text>
  </paragraph>
  <paragraph num="B.">
    <text>For coding, billing, reporting, and reimbursement of medical treatment and services, authorized providers shall apply the CPT/HCPCS code and CPT modifier in effect on the date the treatment or service was provided.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The Commission shall post instructions for obtaining RVU and GPCI values on its website.</text>
  </paragraph>
  <paragraph num="D.">
    <text>RVU and GPCI values shall be obtained utilizing the current year, the locality code for Baltimore and Surrounding Counties (0090101), the applicable CPT/HCPCS code and any CPT modifier.</text>
  </paragraph>
  <paragraph num="E.">
    <text>The Commission shall post a link to the Medicare Physician Fee Schedule on its website.</text>
  </paragraph>
  <paragraph num="F.">
    <text>The Commission shall post a link to the ASC payment rate instructions on its website.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Notwithstanding CMS payment policies, chiropractors may be reimbursed for services provided within the scope of their practice act.</text>
  </paragraph>
  <paragraph num="H.">
    <text>For procedures performed or services rendered after September 1, 2004, a multiple procedure discount is not permitted for physical medicine and rehabilitation services (CPT codes 97010—97799).</text>
  </paragraph>
  <paragraph num="I.">
    <text>After September 1, 2004, only one code per session will be reimbursed for CPT codes 97012—97039.</text>
  </paragraph>
</regulation>