Effective January 1, 2017, WSI will implement the following fee schedule changes. Click here to access the full fee schedules.
Report a single line item charge that includes both the charges associated with the service and the implantable device.
WSI will reimburse for services in the Medicine Section of the AMA CPT® code set if listed on Medicare’s published list of covered ASC services.
In following Medicare’s requirements, WSI will not recognize consult codes as valid codes.
In following Medicare's requirements, WSI will no longer recognize the L1 modifier for outpatient lab charges. WSI will no longer issue separate payment for lab services that are unrelated to other outpatient services performed on that same day, even when ordered by a different physician.
If you have questions about this article, please send an email to wsipr@nd.gov.