DEPARTMENT OF FINANCIAL SERVICES
Division of Worker’s Compensation
RULE NO.:RULE TITLE:
69L-7.020Florida Workers’ Compensation Health Care Provider Reimbursement Manual
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. 21, February 2, 2015 issue of the Florida Administrative Register.
The changes to the proposed rules are being made in response to comments from the Joint Administrative Procedures Committee.
69L-7.020 Florida Workers’ Compensation Health Care Provider Reimbursement Manual.
(2) The CPT® 2014 2009 Current Procedural Terminology Professional Edition, Copyright 2013 2008, American Medical Association; the Current Dental Terminology, CDT-2014 2009/2010, Copyright 2013 2008, American Dental Association; and in part for D codes and for injectable J codes, and for other medical services and supply codes, the “2014 HCPCS Level II Professional Edition Healthcare Common Procedure Coding System, Medicare’s National Level II Codes, HCPCS 2009”, American Medical Association, Twenty-first Edition, Copyright 2014 2008, Elsevier Saunders Ingenix Publishing Group, are adopted by reference as part of this rule. When a health care provider performs a procedure or service which is not listed in the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2015 2008 Edition incorporated above, the provider must use a code contained in the CPT®-2014 2009, CDT-2014 2009/2010 or HCPCS-2014 2009 as specified in this section. The CPT® Assistant, Copyright American Medical Association, the 2014 ICD-9-CM Professional Edition for Physicians, Volumes 1 & 2, American Medical Association, Copyright 2013, and the 2014 ICD-10-CM: The Complete Official Draft Code Set, American Medical Association, Copyright 2013, OptumInsight, Inc., are also adopted by reference as part of this rule. A copy of these reference materials may be obtained from the American Medical Association’s website at https://commerce.ama-assn.org/store/. Acopy of the CDT refernce material may be obtained from the American Dental Association’s website at http://www.ada.org/en/publications/ada-catalog. A copy of the HCPCS Level II reference material may be obtaoned from the American Medical Associations’ website at http://commerce.ama-assn.org/store/.
Rulemaking Specific Authority 440.13(13)(14)(b), 440.591 FS. Law Implemented 440.13(7), (12), (13)(b)(14)(c) FS. History–New 10-1-82, Amended 3-16-83, 11-6-83, 5-21-85, Formerly 38F-7.20, Amended 4-1-88, 7-20-88, 6-1-91, 4-29-92, 2-18-96, 9-1-97, 12-15-97, 9-17-98, 9-30-01, 7-7-02, Formerly 38F-7.020, 4L-7.020, Amended 12-4-03, 1-1-04, 7-4-04, 5-9-05, 9-4-05, 11-16-06, 10-18-07, 2-4-09,___________.
The remainder of the proposed rule reads as previously published.
