NORTH CAROLINA INDUSTRIAL COMMISSION

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NC Workers’ Compensation Medical Fee Schedule Professional Codes and Fees


The North Carolina Workers’ Compensation Medical Fee Schedule uses CPT® codes and modifiers in its Professional, DME, and Laboratory Fee Schedule Tables.

The Current Procedural Terminology (CPT®) code set is the intellectual property of The American Medical Association (AMA). CPT® content is copyrighted, maintained, and published by the AMA. The use of CPT® content in any product, print or electronic, requires a license agreement with the AMA. Please contact the AMA to apply for a license to use CPT® at https://compliance.ama-assn.org/hc/en-us/requests/new?ticket_form_id=1500000038802.

Rule 11 NCAC 23J .0102 contains the fee schedule for professional services in workers’ compensation cases in North Carolina and is the definitive source for fees for professional services. The Professional, DME, and Laboratory Fee Schedule Tables of the North Carolina Workers’ Compensation Medical Fee Schedule interpret Rule 11 NCAC 23J .0102 and were formulated based on the requirements of this Rule using fee schedule information produced or compiled by third parties which may be subject to change. Reasonable efforts have been made to verify the accuracy of the Professional, DME, and Laboratory Fee Schedule Tables. Nevertheless, inadvertent errors may occur. If you think you may have found an error or omission in the Professional, DME, and Laboratory Fee Schedule Tables, please let us know by contacting medicalfees@ic.nc.gov. Any error or omission will be corrected as soon as the Commission is able to confirm the error or omission.

The North Carolina Industrial Commission shall not be liable for any end-user claims for damages or losses arising from the use of the CPT® code information provided herein.

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