New CPT Fee Schedule for Ohio effective 01/01/2015

Post date: Mar 27, 2015 12:40:19 PM

Ohio released a new professional provider medical fee schedule effective 01/01/2015. 

There are several Physical Medicine procedures (97000 through 97999) that have a different rate when billed for multiple units.  The first unit is billed at the standard state maximum fee and additional units are billed at a reduced rate according to the fee schedule (tab #3).  The modifier to use this fee schedule must be 00 - procedures performed as inpatient or outpatient services must be reduced using the CCR reduction method.

The new fee schedule is available and will be included in the next upgrade of the software for customers that are on support. 

The fee schedule is attached below.  

Please be sure to consult the schedule below or the latest schedule from the BWC site for up to date information.