Section 418.101503. Laboratory procedure codes and maximum allowable payments.  


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  • (1) The workers' compensation agency shall determine the maximum allowable payment for the laboratory procedure codes found in the 80000 series of the CPT code set. The rate shall be determined by multiplying the Medicare rate established for this state by 110%.

    (2)    The pathology procedure codes found in the 80000 series of the CPT code set have assigned relative values and shall be provided on the agency’s website at www.michigan.gov/wca.

    (3)   The maximum allowable payments for the laboratory and pathology procedures shall be provided on the agency’s website, www.michigan.gov/wca.

History: 2003 AACS; 2005 AACS; 2014 AACS.