Article
2
min
read

DOWC Codes: Independent medical exams and legal work for 2020

To assist with billing for independent medical exams and legal work, please refer to the following
Back to Knowledge Center

To assist with billing for independent medical exams and legal work, please refer to the following guidelines for 2019:

Z0756 — Independent medical exam (IME)

  • Fee schedule: $93.50 per unit
  • Units are billed in 15-minute increments.
  • Prepayment of two hours is allowed.

Cancellation before the IME

  • If the cancellation is less than five business days prior to the appointment, payment for all reasonable time, such as the preparation and scheduled appointment time, is allowed.
  • If canceled five to seven business days ahead, payment is allowed for all preparation time and half of the time scheduled for the exam.
  • If the cancellation is received over seven business days ahead, payment for all reasonable preparation time is allowed.
Z0730 — Preparation for deposition and testimony
  • Fee schedule: $187.00 per unit
  • Units are billed in 30-minute increments.
Z0734 — Deposition
  • Fee schedule: $187.00 per unit
  • Units are billed in 30-minute increments.
  • Prepayment of one hour is allowed.

Cancellation before the deposition

  • If the cancellation is less than five business days prior, payment for all reasonable time, such as the preparation and scheduled deposition time, is allowed.
  • If canceled five to seven business days ahead, payment is allowed for all preparation time and half of the time scheduled for the deposition.
  • If the cancellation is received over seven business days ahead, payment for all reasonable preparation time is allowed.
Z0738 — Testimony
  • Fee schedule: $259.00 per unit
  • Units are billed in 30-minute increments.
  • Prepayment of four hours is allowed.

Cancellation before testimony

  • If the cancellation is less than five business days prior, payment or all reasonable time, such as preparation and schedule testimony time, is allowed.
  • If canceled five to seven business days ahead, payment is allowed for all preparation time and half of the time scheduled for the testimony.
  • If the cancellation is received over seven business days ahead, payment for all reasonable preparation time is allowed.

If you have any questions or need additional information, please contact Abbye Stein, Medical Payments Liaison at Pinnacol Assurance, abbye.stein@pinnacol.com or 303-361-4830.

View
Adapting your business for COVID-19 impacts