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Isbn 13: 9798393025281

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The following rules are promulgated pursuant to RCW 51.04.020 and 51.04.030. The department or self-insurer may purchase necessary physician and other provider serv- ices according to the fee schedules. The fee schedules shall be established in consultation with interested persons and updated at times determined by the department in consultation with those interested persons. Prior to the establishment or amendment of the fee schedules, the department will give at least thirty calendar days notice by mail to interested persons who have made timely request for advance notice of the establishment or amendment of the fee schedules. To request advance notice of the establishment or amendment of the fee schedules, interested persons must contact the department at the following address:
Department of Labor and Industries Health Services Analysis
P.O. Box 44322 Olympia, WA 98504-4322
As an alternative, interested persons may subscribe to the L&I medical provider news listserv. To subscribe, go to the department's website at www.lni.wa.gov and click on the link "Provider billing & payment." Look for the icon that says "Get Email Updates" and click on it.
The department or self-insurer will require the current version of the federal Health Care Common Procedure Coding System (HCPCS) Level I (or CPT) and II codes on January 1st, of each new year. CPT refers to the American Medical Association's Physicians' Current Proce- dural Terminology codes.
The adoption of these codes on an annual basis is designed to re- duce the administrative burden on providers and lead to more accurate reporting of services. However, the inclusion of a service, product or supply within these new codes does not necessarily imply coverage, re- imbursement or endorsement, by the department or self-insurer. The department will make coverage and reimbursement decisions for these new codes on an individual basis.
If there are any services, procedures or narrative text contained in the new HCPCS Level I and II codes that conflict with the medical aid rules or fee schedules, the department's rules and policies take precedence.
Copies of the HCPCS Level I and II codes are available for public inspection. These documents are available in each of the department's service locations.Copies of the HCPCS Level II codes may be purchased from:
The Superintendent of Documents
United States Government Printing Office Washington, DC 20402
202-783-3238
Copies of the Level I (or CPT) codes may be purchased from:
The American Medical Association
Chicago, Illinois 60601
800-621-8335
In addition to the sources listed above, both the Level I and II codes may be purchased from a variety of private sources.

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Isbn 13 :9798393025281
Encadernação Washington Administrative Code: WAC 296-120 Medical Aid Rule:Capa Comum
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