Texas Register

TITLE 28 INSURANCE
PART 2TEXAS WORKERS' COMPENSATION COMMISSION
CHAPTER 134BENEFITS--GUIDELINES FOR MEDICAL SERVICES, CHARGES, AND PAYMENTS
SUBCHAPTER CMEDICAL FEE GUIDELINES
RULE §134.204Relative Value Units
ISSUE 07/13/2001
ACTION Proposed
Rule Withdrawn: 10/19/2001
Preamble Texas Admin Code Rule

(a)The Texas Workers' Compensation Commission (the commission) adopts herein, by reference the following for use in determining the total relative value units of professional medical services except as otherwise provided in §§134.202 - 134.208 of this title:

  (1)The following portions of the Health Care Financing Administration's (HCFA) 2001 Medicare Resource-Based Relative Value System:

    (A)Volume 65 Federal Register Number 212, November 1, 2000:

      (i)Addendum B "Relative Value Units and Related Information;"

      (i)Addendum C "Codes with Interim Relative Value Units;"

      (iii)Addendum E "2001 Geographic Practice Cost Indices by Medicare Carrier and Locality."

    (B)Volume 62 Federal Register Number 211, October 31, 1997, Addendum G, "Counties Included in 1998 Localities (Alphabetically by State and Locality Name Within State)"

  (2)The American Society of Anesthesiologists, Relative Value Guide 2001, copyright 2001, for those anesthesia codes without an established HCFA relative value.

  (3)The Ingenix 2001 RBRVS, A Comprehensive Listing of RBRVS Values For all CPT and HCPCS Codes, copyright 2000, for procedure codes without an established HCFA relative value.

  (4)The Texas Medicaid Fee Schedule, May 2001, Durable Medical Equipment/Medical Supplies Report J.

(b)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.

(c)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



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