U.S. Department of Labor

Office of Workers' Compensation Programs

Medical Fee Schedule, Effective_February_27_2017

Updated: July 20, 2017

Public Use File Directory:

The OWCP fee schedule Effective_February_27_2017 is being offered in view and download format. There are thirteen files, altogether: nine files are in Microsoft® EXCEL; and four files are in Microsoft® WORD.

AMA CPT©, ADA CDT©, and HCPCS codes are listed.

Note: Most of the Microsoft® EXCEL files are formatted in "landscape." When printing hard copies retrieve, into the correct format to avoid wrapping the tables.

File Name Description

1. Effective_February_27_2017_PublicUseFiledirectory.doc This document

2. Effective_February_27_2017_Read Me First.doc Introduction and explanation of OWCP fee schedule

3. Effective_February_27_2017_Anesthesia_Services_Policy.doc Detailed instruction for Anesthesia services.

4. Effective_February_27_2017__anesthesia_tables.xls List of anesthesia Procedure codes with base units, zip-code conversion factors and anesthesia modifiers

5. Effective_February_27_2017_Ambulatory_Surgery_Centers_Payment_Policy Detailed instructions for free-standing ambulatory surgery centers

6. Effective_January_1_2016_asc_pymt_grp.xls List of surgical procedures allowable for facility fee payment to Ambulatory Surgical Center

7. Effective_January_1_2017_asc_pymt_grp.xls List of surgical procedures allowable for facility fee payment to Ambulatory Surgical Center

8. Effective_October_1_2016_ccr.xls Cost to charge ratio tables for inpatient non-PPS hospital services

9. Effective_February_27_2017_rcc_req_cpt.xls RCC codes requiring CPT/HCPCS/OWCP codes for outpatient hospital services

10. Effective_February_27_2017__code_rvu_cf.xls CPT, HCPCS, ADA & OWCP codes with RVU and conversion factors

11. Effective_February_27_2017_gpci_by_msa.xls Geographic Practice Cost Indices by MSA

12. Effective_February_27_2017_gpci_by_zip.xls Geographic Practice Cost Indices by ZIP code

13. Effective_February_27_2017_mod_table.xls Modifier level table for quick reference

For additional information, contact the Division of Administration and Operations (DAO), Branch of Medical Standards and Rehabilitation.

Phone/Fax: (202) 354-9648

CPT© American Medical Association, copyright 2017, all rights reserved.

CDT© American Dental Association, copyright 2017, all rights reserved.