§ 30.706. How are the maximum fees for professional medical services defined?
111 words·~1 min read·
/us/cfr/t20/s§ 30.706·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
For professional medical services, OWCP shall maintain a schedule of maximum allowable fees for procedures performed in a given locality. The schedule shall consist of: An assignment of a Relative Value Unit
(RVU)to procedures identified by HCPCS/CPT code which represents the relative skill, effort, risk and time required to perform the procedure, as compared to other procedures of the same general class; an assignment of Geographic Practice Cost Index
(GPCI)values which represent the relative work, practice expenses and malpractice expenses relative to other localities throughout the country; and a monetary value assignment (conversion factor) for one unit of value for each coded service. [84 FR 3055, Feb. 8, 2019]