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Rule Subchapter: 24.29.15
Subchapter Title: Nonfacility Service Rules
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24.29: WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE
24.29.15: Nonfacility Service Rules


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Rule No Rule Title Latest
Version
Effective
Date
24.29.1501 PURPOSE access file 6/24/2011
Rules 24.29.1502 and 24.29.1503 reserved
24.29.1504 DEFINITIONS TRANS 10/26/2007
Rules 24.29.1505 through 24.29.1509 reserved
24.29.1510 SELECTION OF PHYSICIAN FOR CLAIMS ARISING FROM JULY 1, 1993 THROUGH JUNE 30, 2013 access file 7/12/2013
24.29.1511 SELECTION OF PHYSICIAN FOR CLAIMS ARISING BEFORE JULY 1, 1993 REP 1/1/2019
24.29.1512 SELECTION OF PHYSICIAN FOR CLAIMS ARISING ON OR AFTER JULY 1, 2013 access file 7/12/2013
24.29.1513 DOCUMENTATION REQUIREMENTS access file 7/12/2013
Rule 24.29.1514 reserved
24.29.1515 FUNCTIONAL IMPROVEMENT STATUS access file 7/12/2013
Rule 24.29.1516 reserved
24.29.1517 PRIOR AUTHORIZATION FOR CERTAIN SERVICES access file 6/24/2011
Rule 24.29.1518 reserved
24.29.1519 SECOND OPINIONS FOR SERVICES PROVIDED ON OR BEFORE JUNE 30, 2011 REP 1/1/2019
Rule 24.29.1520 reserved
24.29.1521 MEDICAL EQUIPMENT AND SUPPLIES FOR DATES OF SERVICE BEFORE JANUARY 1, 2008 REP 1/1/2019
24.29.1522 MEDICAL EQUIPMENT AND SUPPLIES PROVIDED BY A NONFACILITY FOR DATES OF SERVICE FROM JANUARY 1, 2008 THROUGH JUNE 30, 2013 access file 7/12/2013
24.29.1523 MEDICAL EQUIPMENT AND SUPPLIES FOR DATES OF SERVICE ON OR AFTER JULY 1, 2013 access file 7/12/2013
Rules 24.29.1524 and 24.29.1525 reserved
24.29.1526 DISALLOWED PROCEDURES access file 6/24/2011
Rules 24.29.1527 and 24.29.1528 reserved
24.29.1529 PRESCRIPTION DRUGS FEE SCHEDULE access file 12/7/2007
Rule 24.29.1530 reserved
24.29.1531 USE OF FEE SCHEDULES FOR SERVICES PROVIDED FROM APRIL 1, 1993 THROUGH JUNE 30, 2002 REP 1/1/2019
24.29.1532 USE OF FEE SCHEDULES FOR SERVICES PROVIDED FROM JULY 1, 2002, THROUGH DECEMBER 31, 2007 REP 1/1/2019
24.29.1533 NONFACILITY FEE SCHEDULE FOR SERVICES PROVIDED FROM JANUARY 1, 2008 THROUGH JUNE 30, 2013 access file 7/12/2013
24.29.1534 PROFESSIONAL FEE SCHEDULE FOR SERVICES PROVIDED ON OR AFTER JULY 1, 2013 access file 6/13/2020
Rule 24.29.1535 reserved
24.29.1536 CONVERSION FACTORS--METHODOLOGY FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019
24.29.1537 SPECIAL MONITORING AND ADJUSTMENT OF PHYSICAL MEDICINE FEES DURING THE PERIOD JULY 1, 2002 THROUGH DECEMBER 31, 2003 REP 1/1/2019
24.29.1538 CONVERSION FACTORS FOR SERVICES PROVIDED ON OR AFTER JANUARY 1, 2008 access file 6/13/2020
Rules 24.29.1539 and 24.29.1540 reserved
24.29.1541 ACUPUNCTURE FEES FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019
Rules 24.29.1542 through 24.29.1550 reserved
24.29.1551 DENTAL SPECIALTY AREA FEES FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019
Rules 24.29.1552 through 24.29.1560 reserved
24.29.1561 PHYSICIAN FEES -- MEDICINE FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019
Rules 24.29.1562 through 24.29.1565 reserved
24.29.1566 PHYSICIAN FEES -- ANESTHESIA SPECIALTY AREA FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019
Rules 24.29.1567 through 24.29.1570 reserved
24.29.1571 CHIROPRACTIC FEES FOR SERVICES PROVIDED FROM APRIL 1, 1993 THROUGH JUNE 30, 2002 REP 1/1/2019
24.29.1572 CHIROPRACTIC FEES FOR SERVICES PROVIDED FROM JULY 1, 2002, THROUGH DECEMBER 31, 2007 REP 1/1/2019
24.29.1573 PRIOR AUTHORIZATION AND BILLING LIMITATIONS FOR CHIROPRACTIC SERVICES PROVIDED FROM JULY 1, 2002, THROUGH DECEMBER 31, 2007 REP 1/1/2019
24.29.1574 CHIROPRACTIC FEE SCHEDULE FOR SERVICES PROVIDED FROM JANUARY 1, 2008, THROUGH JUNE 30, 2011 REP 1/1/2019
24.29.1575 CHIROPRACTIC--PRIOR AUTHORIZATION AND BILLING LIMITATIONS FOR SERVICES PROVIDED FROM JANUARY 1, 2008, THROUGH JUNE 30, 2011 REP 1/1/2019
Rules 24.29.1576 through 24.29.1580 reserved
24.29.1581 PROVIDER FEES--OCCUPATIONAL AND PHYSICAL THERAPY SPECIALTY AREA FOR SERVICES PROVIDED FROM APRIL 1, 1993 THROUGH JUNE 30, 2002 REP 1/1/2019
24.29.1582 PROVIDER FEES--OCCUPATIONAL AND PHYSICAL THERAPY SPECIALTY AREA FOR SERVICES PROVIDED FROM JULY 1, 2002 THROUGH SEPTEMBER 30, 2003 REP 1/1/2019
24.29.1583 PRIOR AUTHORIZATION AND BILLING LIMITATIONS FOR SERVICES PROVIDED BY OCCUPATIONAL THERAPISTS AND PHYSICAL THERAPISTS FROM JULY 1, 2002, THROUGH DECEMBER 31, 2007 REP 1/1/2019
24.29.1584 PROVIDER FEES--OCCUPATIONAL AND PHYSICAL THERAPY SPECIALTY AREA FOR SERVICES PROVIDED FROM OCTOBER 1, 2003, THROUGH DECEMBER 31, 2007 REP 1/1/2019
24.29.1585 OCCUPATIONAL AND PHYSICAL THERAPY FEE SCHEDULE FOR SERVICES PROVIDED FROM JANUARY 1, 2008, THROUGH JUNE 30, 2011 REP 1/1/2019
24.29.1586 OCCUPATIONAL AND PHYSICAL THERAPISTS--PRIOR AUTHORIZATION AND BILLING LIMITATIONS FOR SERVICES PROVIDED FROM JANUARY 1, 2008, THROUGH JUNE 30, 2011 REP 1/1/2019
Rules 24.29.1587 through 24.29.1590 reserved
24.29.1591 UTILIZATION AND TREATMENT GUIDELINES TRANS 1/1/2019
Rule 24.29.1592 reserved
24.29.1593 PRIOR AUTHORIZATION TRANS 1/1/2019
Rule 24.29.1594 reserved
24.29.1595 INDEPENDENT MEDICAL REVIEW PROCESS TRANS 1/1/2019
24.29.1596 APPLICABILITY OF UTILIZATION AND TREATMENT RULES TRANS 1/1/2019
Rules 24.29.1597 and 24.29.1598 reserved
24.29.1599 APPLICABILITY OF UTILIZATION AND TREATMENT GUIDELINES FOR MANAGED CARE ORGANIZATIONS OR PREFERRED PROVIDER ORGANIZATIONS TRANS 1/1/2019
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