|
(a)The Texas Workers' Compensation Commission (the commission) adopts herein, by reference the following for use in coding professional medical services: (1)American Medical Association's Current Procedural Terminology 2001, Fourth Edition Revised, copyright 2000, Current Procedural Terminology is also known as the Health Care Financing Administration Common Procedure Coding System (HCPCS) Level I codes. (2)HCPCS Level II codes, limited to A, E, J, K, and L codes and the related modifiers. The J codes are published in Addendum B "Relative Value Units and Related Information," of Volume 65 Federal Register Number 212, November 1, 2000. The A, E, K and L codes are available from the Health Care Financing Administration's "Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 2001 Fee Schedule" December 19, 2000. (3)American Dental Association's Current Dental Terminology, Third Edition, copyright 1999. (b)The definitions, descriptions and guidelines found in the documents adopted by reference in subsection (a) of this section shall govern the coding, reporting, billing and reimbursement of professional medical services with any additions or exceptions provided in §134.207 of this title (relating to Ground Rules). (c)Whenever a document adopted by reference in this section is revised, the executive director of the commission shall make an administrative determination regarding use of the revised document and shall establish the date by which use of the revised document is required for compliance with commission rules, decision, and orders. In determining whether to incorporate a revised document, the executive director shall consider whether use is consistent with applicable statutory requirements and objectives including standardization, and with commission rules in effect on the date of the revision. The executive director shall inform the commissioners of the determination, and shall inform the public by issuing a commission advisory regarding the determination and by filing the determination for publication in the Texas Register. (d)Information on how to purchase or obtain copies of the most current referenced documents is available by contacting the commission's Publications Department or accessing the commission's website: www.twcc.state.tx.us. .
This agency hereby certifies that the proposal has been reviewed
by legal counsel and found to be within the agency's legal authority to adopt.
Filed with the Office of
the
Secretary of State, on June 27, 2001
TRD-200103677 Susan Cory
General Counsel
Texas Workers' Compensation Commission
Earliest possible date of adoption: August 12, 2001
For further information, please call: (512) 804-4287
|
