The following shall apply to return to work (RTW)/evaluation
of medical care (EMC) examinations. When conducting a division or
insurance carrier requested RTW/EMC examination, the examining doctor
shall bill and be reimbursed using CPT code 99456 with modifier "RE."
In either instance of whether maximum medical improvement/ impairment
rating (MMI/IR) is performed or not, the reimbursement shall be $500
in accordance with §134.240 of this title and shall include division-required
reports. Testing that is required shall be billed using the appropriate
CPT codes and reimbursed in addition to the examination fee.
|