Materials for use with the Workers’ Compensation Health Care Provider Reimbursement Manual, Materials for use with the Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers, Materials for use with the Workers’ Compensation ...

 

DEPARTMENT OF FINANCIAL SERVICES

Division of Worker’s Compensation

RULE NOS.:RULE TITLES:

69L-8.071Materials for use with the Workers’ Compensation Health Care Provider Reimbursement Manual

69L-8.072Materials for use with the Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers

69L-8.073Materials for use with the Workers’ Compensation Hospital Reimbursement Manual

69L-8.074Materials for use throughout Rule Chapter 69L-7, F.A.C.

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 41 No. 91, May 11, 2015 issue of the Florida Administrative Register.

The changes to the proposed rules are being made to address public comments and comments made by the Joint Administrative Procedures Committee. The proposed rules include certain technical changes.

69L-8  Selected Materials Incorporated by Reference

 

69L-8.071  Materials for use with the Florida Workers’ Compensation Health Care Provider Reimbursement Manual.

(1) The following materials are incorporated by reference:

(a) Rule 69L-7.710, F.A.C.; 

(b) Rule 69L-7.720, F.A.C.;

(c) Rule 69L-7.730, F.A.C.;

(d) Rule 69L-7.740, F.A.C.;

(e)  The CPT® 2015 Current Procedural Terminology Professional Edition, Copyright 2014, American Medical Association;

(f)  The CDT 2015, Dental Procedure Codes, Copyright 2014, American Dental Association;

(g)  The 2015 HCPCS Level II Professional Edition, American Medical Association, Copyright 2014, Elsevier Saunders;

(h)  The 2015 ICD-9-CM Professional Edition for Physicians, Volumes 1 & 2, American Medical Association, Copyright 2015;

(i)  The 2015 ICD-10-CM: The Complete Official Draft Codebook, American Medical Association, Copyright 2014, OptumInsight, Inc., and

(j)   The 2015 ICD-10-PCS: The Complete Official Draft Codebook, American Medical Association, Copyright 2014, OptumInsight, Inc

(k) The 2015 CPT® Assistant, Copyright American Medical Association

(2) The posting of the preceding copyrighted materials on the Internet would constitute  a violation of the federal copyright law. The preceding copyrighted materials are available for public inspection and examination, but may not be copied, during regular business hours at the Florida Department of Financial Services, Division of Workers’ Compensation, Bureau of Monitoring and Audit, Hartman Building, 2012 Capital Circle Southeast, Tallahassee, Florida. The preceding non-copyrighted materials may be accessed online via the Department’s Division of Workers’ Compensation website at http://www.myfloridacfo.com/division/wc or through the Florida Administrative Register website at http://www.flrules.org.

Rulemaking Authority 440.13(13)(b), 440.591 FS. Law Implemented 440.13(12), (13)(b) FS. History – New .

 

69L-8.072 Materials for use with the Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers.

(1) The following materials are incorporated by reference:

(a) Rule 69L-7.710, F.A.C.; 

(b) Rule 69L-7.720, F.A.C.;

(c) Rule 69L-7.730, F.A.C.;

(d) Rule 69L-7.740, F.A.C.;

(e)  The CPT® 2015 Current Procedural Terminology Professional Edition, Copyright 2014, American Medical Association;

(f) The CDT 2015, Dental Procedure Codes Copyright 2014, American Dental Association;

(g) The 2015 ICD-9-CM Professional Edition for Hospitals, Volumes 1, 2 & 3, American Medical Association, Copyright 2015;

(h) The 2015 ICD-9-CM Professional Edition for Physicians, Volumes 1 & 2, American Medical Association, Copyright 2015;

(i) The 2015 CPT® Assistant, Copyright American Medical Association;

(j)National Uniform Billing Committee Official UB-04 Data Specifications Manual 2015, version 9.00, July 2014, as adopted by the National Uniform Billing Committee. A copy of this manual can be obtained from the National Uniform Billing Committee web site: http://www.nubc.org/subscriber/;

(k) The 2015 ICD-10-CM: The Complete Official Draft Codebook, American Medical Association, Copyright 2014, OptumInsight, Inc., and

(l)   The 2015 ICD-10-PCS: The Complete Official Draft Codebook, American Medical Association, Copyright 2014, OptumInsight, Inc.

(2) The posting of the preceding copyrighted materials on the Internet would constitute  a violation of the federal copyright law. The preceding copyrighted materials are available for public inspection and examination, but may not be copied, during regular business hours at the Florida Department of Financial Services, Division of Workers’ Compensation, Bureau of Monitoring and Audit, Hartman Building, 2012 Capital Circle Southeast, Tallahassee, Florida. The preceding non-copyrighted materials may be accessed online via the Department’s Division of Workers’ Compensation website at http://www.myfloridacfo.com/division/wc or through the Florida Administrative Register website at http://www.flrules.org.

Rulemaking Authority 440.13(4), (13), 440.591, FS. Law Implemented 440.13(12), (13) FS. History – New .

 

69L-8.073 Materials for use with the Florida Workers’ Compensation Reimbursement Manual for Hospitals.

(1) The following materials are incorporated by reference:

(a) Rule 69L-7.010, F.A.C.;

(b) Rule 69L-7.720, F.A.C.;

(c) Rule 69L-7.730, F.A.C.;

(d) Rule 69L-7.740, F.A.C.;

(e) The 2015 ICD-9-CM Professional Edition for Hospitals, Volumes 1, 2 & 3, Copyright 2015, American Medical Association;

(f) The 2015 ICD-10-CM: The Complete Official Draft Codebook, American Medical Association, Copyright 2014, OptumInsight, Inc.;

(g) The 2015 ICD-10-PCS: The Complete Official Draft Codebook, American Medical Association, Copyright 2014, OptumInsight, Inc.;

(h) The CPT® 2015 Current Procedural Terminology Professional Edition, Copyright 2014, American Medical Association;

(i) The CDT 2015, Dental Procedure Codes, Copyright 2014, American Dental Association;

(j) The 2015 HCPCS Level II Professional Edition, American Medical Association, Copyright 2015, Elsevier Saunders;

(k) The 2015 ICD-9-CM Professional Edition for Physicians, Volumes 1 & 2, American Medical Association, Copyright 2015; and

(l) The 2015 CPT®, Assistant, Copyright American Medical Association.

(2) The posting of the preceding copyrighted materials on the Internet would constitute  a violation of the federal copyright law. The preceding copyrighted materials are available for public inspection and examination, but may not be copied, during regular business hours at the Florida Department of Financial Services, Division of Workers’ Compensation, Bureau of Monitoring and Audit, Hartman Building, 2012 Capital Circle Southeast, Tallahassee, Florida. The preceding non-copyrighted materials may be accessed online via the Department’s Division of Workers’ Compensation website at http://www.myfloridacfo.com/division/wc or through the Florida Administrative Register website at http://www.flrules.org.

Rulemaking Authority 440.13(12), (13), 440.591 FS., Law Implemented  440.13(12), (13) FS. History – New  .

 

69L-8.074   Materials for use throughout Rule Chapter 69L-7, F.A.C.

(1) The following materials are incorporated by reference:

(a) The HCPCS Level II Professional Edition, as adopted in Rules 69L-8.071, and 69L-8.073, F.A.C.;

(b) The Current Procedural Terminology (CPT®), as adopted in Rules 69L-8.071, 69L-8.072 and 69L-8.073, F.A.C.;

(c) The CDT, Dental Procedure Codes, as adopted in Rules 69L-8.071, 69L-8.072 and 69L-8.073, F.A.C.;

(d) The ICD-9-CM Professional Edition for Physicians, Volumes 1 & 2, as adopted in Rules 69L-8.071, 69L-8.072 and 69L-8.073, F.A.C.;

(e) The ICD-9-CM Professional Edition for Hospitals, as adopted in Rules 69L-8.072 and 69L-8.073, F.A.C.;

(f) through (j) No Change.

(k) The Florida Medical EDI Implementation Guide (MEIG), 2015. (The Florida Medical EDI Implementation Guide (MEIG), 2015,  can be obtained from the DFS/DWC website at http://www.myfloridacfo.com/Division/WC/EDI/Med_EDI.htm).

(l) The ICD-10-CM: The Complete Official Draft Codebook, American medical Association, as adopted in Rules 69L-8.071, 69L-8.072, and 69L-8.073, F.A.C.; and

(m) The ICD-10-PCS: The Complete Official Draft Codebook, American Medical Association, as adopted in Rule 69L-8.073, F.A.C.;

(n) The CPT® Assistant, Copyright American Medical Association.

(2) The posting of the preceding copyrighted materials on the Internet would constitute  a violation of the federal copyright law. The preceding copyrighted materials are available for public inspection and examination, but may not be copied, during regular business hours at the Florida Department of Financial Services, Division of  Workers’ Compensation, Bureau of Monitoring and Audit, Hartman Building, Tallahassee, Florida. The preceding non-copyrighted materials may be accessed online via the Department’s Division of Workers’ Compensation website at http://www.myfloridacfo.com/division/wc or through the Florida Administrative Register website at http://www.flrules.org.

Rulemaking Authority 440.13(4), 440.15(3)(b), (d), (f), 440.185(5), 440.20(6)(b), 440.525(2), 440.591, 440.593(5) FS. Law Implemented  440.09, 440.13(2)(a), (3), (4), (6), (11), (12), (13), (16), 440.15(3)(b), (d), (f), (5), 440.185(5), (9), 440.20(6), 440.525(2), 440.593 FS. History – New  .

 

The remainder of the rule reads as previously published.