Section 9: Special Services
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- CPT Code 99075 "Medical Testimony" is a fee set by the NCIC hearing officer. Pay per the hearing officer’s "Opinion and Award."
- The Commission has ruled unofficially that travel to secure job replacement is a part of Rehabilitation services and covered under N.C. Gen. Stat. §97-25 when properly documented. Effective January 1, 2009, travel expense decreased to 55 cents a mile.
- Job-site visits, reviewing video tapes, and viewing X-rays are covered under Rehabilitation services but need prior approval from the Insurance Carrier. These bills are not submitted to the Commission, but are paid by the Carrier.
- Reimbursement for supplies and equipment must not exceed twenty (20) percent above the provider’s cost. An invoice may be required by the carrier before reimbursement is made.
- There are some items that have no CPT codes, such as any type of supply or minor anesthesia. These must be entered as 99070.
Commission Assigned Codes
See Fee Section 2 for Complete list
NCIC Code | Procedure Description | NCIC Allowance |
MC001 | Non-Paid services | no allowance |
MC002 | Miscellaneous approved services | |
MC003 | No show appointment | no allowance |
MC004 | Follow-up days included in global fee | no charge allowed |
MC005 | Unauthorized provider | |
FS100 | Flow meter | $100.00 per day |
FS200 | Flap monitoring | $100.00 per day |
CS100 | Cold study | $100.00 |