Texas Administrative Code
|PART 2||TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION|
|CHAPTER 134||BENEFITS--GUIDELINES FOR MEDICAL SERVICES, CHARGES, AND PAYMENTS|
|SUBCHAPTER C||MEDICAL FEE GUIDELINES|
|RULE §134.235||Return to Work/Evaluation of Medical Care|
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.
|Source Note: The provisions of this §134.235 adopted to be July 7, 2016, 41 TexReg 4839|