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 California Code of Regulations (Last Updated: August 6, 2014)
 Title 8. Industrial Relations
 Division 1. Department of Industrial Relations
 Chapter 4.5. Division of Workers' Compensation
 Subchapter 1. Administrative Director -Administrative Rules
 Article 5.3. Official Medical Fee Schedule

  § 9789.39. Federal Regulations and Federal Register Notices by Date of Service.  

Latest version.
  • (a) Federal Regulations by Date of Service
    The Federal Regulations can be accessed at: http://www.cms.gov/HospitalOutpatientPPS/ and the referenced sections are incorporated by reference and will be made available upon request to the Administrative Director.
    Services Occurring On
    Services Occurring On
    Services Occurring On
    Services Occurring On
    or After 7/15/2005
    or After 2/15/2006
    or After 3/1/2007
    or After 3/1/2008
    Title 42, Code of Federal
    Regulations, §419.2
    Title 42, Code of Federal
    Regulations, §419.32
    Title 42, Code of Federal
    As amended; effective
    As amended; effective
    As amended; effective
    Regulations, §419.43
    January 1, 2006
    January 1, 2007
    January 1, 2008
    Title 42, Code of Federal
    Amended; effective
    Regulations, §419.44
    January 1, 2008
    Title 42, Code of Federal
    Regulations, §419.62
    Title 42, Code of Federal
    As amended; effective
    Regulations, §419.64
    January 1, 2005
    Title 42, Code of Federal
    As amended; effective
    Regulations, §419.66
    January 1, 2006
    Services Occurring On
    Services Occurring On
    Services Occurring On
    Services Occurring On
    or After 3/1/2009
    or After 4/15/2010
    or After 9/15/2011
    or After 3/1/2012
    Title 42, Code of Federal
    Regulations, §419.2
    Title 42, Code of Federal
    As amended; effective
    As amended; effective
    Regulations, §419.32
    January 1, 2011
    January 1, 2012
    Title 42, Code of Federal
    As amended; effective
    As amended; effective
    As amended; effective
    Regulations, §419.43
    January 1, 2009
    January 1, 2011
    January 1, 2012
    Title 42, Code of Federal
    Regulations, §419.44
    Title 42, Code of Federal
    Regulations, §419.62
    Title 42, Code of Federal
    As amended; effective
    Regulations, §419.64
    January 1, 2010
    Title 42, Code of Federal
    As amended; effective
    Regulations, §419.66
    January 1, 2010
    Services Occurring On
    or After 4/1/2013
    Title 42, Code of Federal
    As amended; effective
    Regulations, §419.2
    January 1, 2013
    Title 42, Code of Federal
    As amended; effective
    Regulations, §419.32
    January 1, 2013
    Title 42, Code of Federal
    Regulations, §419.43
    Title 42, Code of Federal
    Regulations, §419.44
    Title 42, Code of Federal
    Regulations, §419.62
    Title 42, Code of Federal
    Regulations, §419.64
    Title 42, Code of Federal
    Regulations, §419.66
    (b) Federal Register Notices by Date of Service
    The Federal Register Notices can be accessed at: http://www.cms.gov/HospitalOutpatientPPS/ and the referenced sections are incorporated by reference and will be made available upon request to the Administrative Director.
    Services Occurring On
    Services Occurring On
    Services Occurring On
    Services Occurring On
    or After 1/1/2004
    or After 7/15/2005
    or After 2/15/2006
    or After 3/1/2007
    Applicable FR Notices
    (A) November 7, 2003
    (A) November 15, 2004
    (A) November 10, 2005
    (A) November 24, 2006
    (CMS-1471-FC;
    (CMS-1427-FC; ;
    (CMS-1501-FC;
    (CMS-1506-FC;
    68 RE 63398);
    69 FR 65681)
    70 FR 68515);
    71 FR 67960);
    (B) December 31, 2003
    (B) December 30, 2004
    (B) December 23, 2005
    (B) August 18, 2006
    (CMS-1471-CN;
    (CMS-1427-CN;
    (CMS-1501-CN2;
    (CMS-1488-F;
    68 FR 75442);
    69 FR 78315;
    70 FR 76176);
    71 FR 47870)
    (C) January 6, 2004
    (C) August 11, 2004
    (C) August 12, 2005
    (C) October 11, 2006
    (CMS-1371-IFC;
    (CMS-1428-F;
    (CMS-1500-F;
    (CMS-CMS-1488-N;
    69 FR 820);
    69 FR 48916);
    70 FR 47278);
    71 FR 59886)
    (D) August 1, 2003
    (D) December 30, 2004
    (D) September 30, 2005
    (CMS-1470-F;
    (CMS-1482-F2;
    (CMS-1500-CN;
    68 FR 45346);
    69 FR 78526
    70 FR 57161)
    (E) August 11, 2003
    (CMS-1470-F;
    68 FR 47637)
    APC Payment Rate
    Addendum B
    Addendum B
    Addendum B
    Addendum B
    (A) beginning on page 63488
    (A)beginning on
    (A) beginning on
    (A) beginning on
    conformed to comply with
    page 65887
    page 68752
    page 68283
    (B) beginning on page 75442
    and (C) beginning on page 820
    APC Relative Weight
    Addendum B
    Addendum B
    Addendum B
    Addendum B
    (A) beginning on page 63488
    (A) beginning on
    (A) beginning on
    (A) beginning on
    conformed to comply with
    page 65887
    page 68752
    page 68283
    (B) beginning on page 75442
    and (C) beginning on page 820
    HOPPS Addenda
    Addenda A, B, D1, D2, E,
    Addenda A, B, D1, D2,
    Addenda A, B, D1, D2,
    Addenda A, B, D1, D2,
    H, I, and J (A) beginning at
    and E (A) beginning at
    E and L (A) beginning at
    E, and L (A) beginning
    page 63478; as changed by
    page 65864
    page 68729; and correction
    at page 68231
    (B) beginning at page 75442;
    (B) beginning at page 76176
    and (C) beginning at page 820
    IPPS Tables
    Tables 4A1, 4A2, 4B1, 4B2,
    Tables 4A, 4B, 4C,
    Tables 4A-1, 4A-2, 4B-1,
    4C1 4C2 and 4J (D)
    and 4J (D) beginning at
    4B-2, 4C-1, 4C-2, and 4J
    beginning at page 78619
    page 57163; and Tables 4A,
    (C) beginning at page 59975
    4B, 4C, and 4J (C)
    beginning on page 47580
    Labor-related Share
    60% ((A) page 63458)
    60% ((A) beginning at
    60% ((A) beginning at
    60% ((A) beginning at
    page 65842)
    page 68551)
    page 68003)
    Market Basket
    3.4% (D) page 45346
    3.3% (C) page 49274
    3.7% (C) page 47492
    3.4% (B) page 48146
    Inflation Factor
    Outlier Threshold
    $1,175 (A) at page 65846
    $1,250 (A) at page 68565
    $1,825(A) at page 68012
    Unadjusted Conversion
    $53.924 (2003 unadjusted
    $55.703 (2004 unadjusted
    $57.764 (2005 unadjusted
    $59.728 (2006 unadjusted
    Factor
    conversion factor of
    conversion factor of
    conversion factor of
    conversion factor of
    52.151 x estimated inflation
    $53.924 x estimated
    $55.703 x estimated
    $57.764 x estimated
    factor of 1.034)
    inflation factor of 1.033)
    inflation factor of 1.037)
    inflation factor of 1.034)
    Wage Index
    Addenda H through J
    Referenced in Addenda H
    Referenced in (A)
    Referenced in (A)
    (A) beginning at page 63682
    through J (B) beginning
    beginning at page 68551;
    beginning at page 68003;
    at page 78316; wage index
    wage index values are
    wage index values are
    values are specified in
    specified in Tables 4A
    specified in Tables 4A-1
    Tables 4A1 through 4C2
    through 4C (D) beginning
    through 4C-2 (C) beginning
    (D) beginning at
    at page 57163; and as
    at page 59975
    page 78619
    specified in Tables 4A
    through 4C (C) beginning
    at page 47580
    Services Occurring On
    Services Occurring On
    Services Occurring On
    Services Occurring On
    or After 3/1/2008
    or After 3/1/2009
    or After 4/15/2010
    or After 9/15/2011
    Applicable FR Notices
    (A) November 27, 2007
    (A) November 18, 2008
    (A) November 20, 2009
    (A) November 24, 2010
    (CMS-1392-FC;
    (CMS-1404-FC;
    (CMS-1414-FC;
    (CMS-1504-FC;
    CMS-1533-F2;
    73 FR 68502);
    74 FR 60316);
    75 FR 71800);
    72 FR 66580);
    (B) August 19, 2008
    (B)December 31, 2009
    (B) March 11, 2011
    (B) August 22, 2007
    (CMS-1390-F;
    (CMS-1414-CN;
    (CMS-1504-CN;
    (CMS-1533-FC;
    73 FR 48434);
    74 FR 69502);
    76 FR 13292);
    72 FR 47130);
    (C) October 3, 2008
    (C) August 27, 2009
    (C) August 16, 2010
    (C) October 10, 2007
    (CMS-1390-CN;
    (CMS-1406-F;
    (CMS-1498-F;
    (CMS-1533-CN2;
    73 FR 57541);
    74 FR 43754);
    75 FR 50042);
    72 FR 57634);
    (D) October 3, 2008
    (D) October 7, 2009
    (D) October 1, 2010
    (D) November 6, 2007
    (CMS-1390-N;
    (CMS-1406-CN;
    (CMS-1498-F;
    (CMS-1533-CN3;
    73 FR 57888);
    74 FR 51496)
    75 FR 60640)
    72 FR 62585);
    (E) December 3, 2008
    (E) November 27, 2007
    (CMS-1390-N2;
    (CMS-1392-FC;
    73 FR 73656);
    CMS-1533-F2;
    (F) January 26, 2009
    72 FR 66580);
    (CMS-1404-CN;
    (F) February 22, 2008
    74 FR 4343)
    (CMS-1392-CN;
    CMS-1533-CN)
    APC Payment Rate
    Addendum B
    Addendum B
    Addendum B
    Addendum B
    (A) beginning on
    (A) beginning on
    (A) beginning on
    (A) beginning onn
    page 66993 conformed to
    page 68934
    page 60752
    page 72331
    comply with correction
    conformed to comply with
    conformed to comply with
    conformed to comply with
    published in
    correction published in
    correction published in
    correction published in
    (F) beginning on page 9863
    (F) beginning on page 4344
    (B) page 69503
    (B) page 13295
    APC Relative Weight
    Addendum B
    Addendum B
    Addendum B
    Addendum B
    (A) beginning on
    (A) beginning on
    (A) beginning on
    (A) beginning on
    page 66993 conformed to
    page 68934 conformed to
    page 60752 conformed to
    page 72331 conformed to
    comply with correction
    comply with correction
    comply with correction
    comply with correction
    published in
    published in
    published in
    published in
    (F) beginning on page 9863
    (F) beginning on page 4344
    (B) page 69503
    (B) page 13295
    HOPPS Addenda
    Addenda A, B, D1, D2,
    Addenda A, B, D1, D2,
    Addenda A, B, D1, D2,
    Addenda A, B, D1, D2,
    E, L, and M (A) beginning
    E, L, and M (A) beginning
    E, L, and M (A) beginning
    E, L, and M (A) beginning
    at page 66934; and corrections
    at page 68816; and
    at page 60682; and
    at page 72268; and
    to addenda A, B, D2, and M
    corrections to addenda
    corrections to addenda B
    corrections to addendum B
    (F) beginning at page 9862
    A and B (F) beginning
    and E (B) beginning
    (B) on page 13295
    at page 4343
    at page 69503
    IPPS Tables
    Tables 4A, 4B, and 4C
    Tables 4A, 4B, 4C, and 4J
    Tables 2, 4A, 4B, 4C, and 4J
    Tables 2, 4A, 4B, 4C, and 4J
    (C) beginning at page 57698
    (C) beginning at page 57956;
    (C) beginning at page 44032;
    (C) beginning at page 50451
    and Table 4J (B) beginning
    and Tables 2 and 4J
    as changed by correction to
    at page 47531 and correction
    (E) beginning at page 73657
    Tables 2, 4A, 4B, 4C, and 4J
    (C) beginning at page 57726
    (D) beginning at page 51499
    Labor-related Share
    60% ((A) beginning at
    60% ((A) beginning at
    60% ((A) beginning at
    60% ((A) beginning at
    page 66678)
    page 68585)
    page 60419)
    page 71877)
    Market Basket Inflation Factor
    3.3% (B) page 47415
    3.6% (B) page 48759
    2.1% (C) page 44002
    2.6% (C) page 50422
    Outlier Threshold
    $1,575 (A) at page 66686
    $1,800 (A) at page 68594
    $2,175 (A) at page 60428
    $2,025 (A) at page 71889
    Unadjusted Conversion Factor
    $61.699 (2007 unadjusted
    $63.920 (2008 unadjusted
    $65.262 (2009 unadjusted
    $66.959 (2010 unadjusted
    conversion factor of
    conversion factor of
    conversion factor of
    conversion factor of
    $59.728 x estimated
    $61.699 x estimated
    $63.920 x estimated
    $65.262 x estimated
    inflation factor of 1.033)
    inflation factor of 1.036)
    inflation factor of 1.021)
    inflation factor of 1.026)
    Wage Index
    Referenced in (A) beginning
    Referenced in (A beginning
    Referenced in (A) beginning
    Referenced in (A) beginning
    at page 66678; wage index
    at page 68585; wage index
    at page 60419; wage index
    at page 71877; wage index
    values are specified in
    values are specified in
    values are specified in
    values are specified in
    Tables 4A through 4C
    Tables 4A through 4C
    Tables 4A through 4C
    Tables 4A through 4C
    (C) beginning at page 57698
    (D) beginning at page 57956
    (D) beginning at page 51505;
    (C) beginning at page 50511
    and as specified in
    Tables 4A through 4C
    (C) beginning at page 44085
    Services Occurring On
    Services Occurring On
    Services Occurring On
    or After 3/1/2012
    or After 9/1/2012
    or After 4/1/2013
    Applicable FR Notices
    (A) November 30, 2011
    (A) November 30, 2011
    (A) November 15, 2012
    (CMS-1525-FC;
    (CMS-1525-FC;
    (CMS-1589-FC;
    76 FR 74122);
    76 FR 74122);
    77 FR 68210)
    (B) January 4, 2012
    (B) January 4, 2012
    (CMS-1525-CN;
    (CMS-1525-CN;
    77 FR 217);
    77 FR 217);
    (C) August 18, 2011
    (C) August 18, 2011
    (CMS-1518-F;
    (CMS-1518-F;
    76 FR 51476);
    76 FR 51476);
    (D) September 26, 2011
    (D) September 26, 2011
    (CMS-1518-CN3;
    (CMS-1518-CN3;
    76 FR 59263)
    76 FR 59263);
    (E) April 24, 2012
    (CMS-1525-CN2;
    77 FR 24409)
    APC Payment Rate
    Addendum B (A) conformed
    Addendum B (A) conformed
    Addendum B (A) found on
    to comply with correction
    to comply with corrections
    CMW website at:
    published in (B) found on
    published in (B) and (E)
    http://www.cms.gov/
    CMS website at:
    found on CMS website at:
    HospitalOutpatientPPS
    http://www.cms.gov/
    http://www.cms.gov/
    HospitalOutpatientPPS
    HospitalOutpatientPPS
    APC Relative Weight
    Addendum B (A) conformed
    Addendum B (A) conformed
    Addendum B (A) found on
    to comply with correction
    to comply with corrections
    CMS website at:
    published in (B) found on
    published in (B) and (E)
    http://www.cms.gov/
    CMS website at:
    found on CMS website at:
    HospitalOutpatientPPS
    http://www.cms.gov/
    http://www.cms.gov/
    HospitalOutpatientPPS
    HospitalOutpatientPPS
    HOPPS Addenda
    Addenda A, B, D1, D2, E, L,
    Addenda A, B, D1, D2, E,
    Addenda A, B, D1, D2,
    and M (A) and corrections to
    L, and M (A and E) and
    E, L, and M (A) found on
    addenda (B) found on
    corrections to addenda (A)
    CMS website at:
    CMS website at:
    and (B) found on CMS
    http://www.cms.gov/
    http://www.cms.gov/
    website at:
    HospitalOutpatientPPS
    HospitalOutpatientPPS
    http://www.cms.gov/
    HospitalOutpatientPPS
    IPPS Tables
    Tables 2, 4A, 4B, 4C, and 4J
    Tables 2, 4A, 4B, 4C, and 4J
    (C) and correction (D) found
    (C) and correction (D) found
    on CMS website at:
    on CMS website at:
    http://www.cms.hhs.gov/
    http://www.cms.gov/
    AcuteInpatientPPS/.
    AcuteInpatientPPS/.
    Labor-related Share
    60% ((A) beginning at page 74191)
    60% (A) beginning at page 68285
    Market Basket Inflation Factor
    3.0% (A) page 74189
    2.6% (A) page 68215
    Outlier Threshold
    $2,025 (B) at page 222
    $2,025 (A) page 68297
    Unadjusted Conversion Factor
    $68.968 (2011 unadjusted
    $70.761 (2012 unadjusted
    conversion factor of
    conversion factor of
    $66.959 x estimated inflation
    $68.968 x estimated inflation
    factor of 1.03)
    factor of 1.026)
    Wage Index
    Referenced in (A) beginning
    Referenced in (A) beginning
    at page 74191; wage index
    at page 68285; wage index
    values are specified in
    values are specified in
    Tables 4A through 4C
    Tables 4A through 4C
    (C) found on the CMS web site
    found on CMS website at:
    at: http://www.cms.gov/
    http://www.cms.gov/
    AcuteInpatientPPS/
    AcuteInpatientPPS/
HISTORY
1. New section filed 12-27-2012; operative 1-1-2013 as a file and print only pursuant to Government Code section 11340.9(g) (Register 2012, No. 52).
2. Amendment filed 3-29-2013; operative 4-1-2013 pursuant to Labor Code section 5307.1(g)(2). Submitted to OAL for filing and printing only pursuant to Labor Code section 5307.1(g)(2) (Register 2013, No. 13).

Note

Note: Authority cited: Sections 133, 4603.5, 5307.1 and 5307.3, Labor Code. Reference: Sections 4600, 4603.2 and 5307.1, Labor Code.