Medical Fee Schedules

General guidelines for billing of medical treatment include:

• Reimbursement of medical treatment for both in-state and out-of-state providers is according to the applicable WSI Fee Schedule
• Out-of-state specific codes or billing guidelines are not accepted
• WSI utilizes the most current CPT® code set, with all level I and level II HCPC codes
• The presence of a code and an associated amount in a fee schedule is not a guarantee of payment
• An Advanced Beneficiary Notice of Non-Payment (ABN) form is available as an option for services WSI may not cover