We are having issues with our SIR application which is the application you use to retrieve your Remittance Vouchers (RVs). We are working diligently to resolve this issue however, in the meantime if you need a copy of your RV, please contact our call center at: 850-558-1818 and press option # 7. We will post a message when the application issue is resolved.
The Office of Workers' Compensation Programs (OWCP) will adopt the use of the International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10) on a schedule aligned with the Centers for Medicare & Medicaid Services (CMS). For services provided on or after October 1, 2014, OWCP will require all providers to only use the ICD-10 code sets. For services provided prior to October 1, 2014, only ICD-9 codes will be accepted.
We will be following CMS guidance for implementing ICD-10 on October 1, 2014. Please visit the CMS ICD-10 website for additional information, resources and the latest news on the ICD- 10 transition,
Effective March 1, 2014, We will accept paper bills submitted on the revised 1500 claim form (version 2/12) with ICD-9 codes.
ICD-10 codes will be rejected as an invalid code until October 1, 2014.
For information about ICD-10 or 1500 form changes click here.
Attention DEEOIC DME Providers - The Division of Energy Employees Occupational Illness Compensation (DEEOIC) has released new guidelines concerning the authorization of durable medical equipment (DME). For information about these new guidelines, please click here
The Division of Federal Employee’ Compensation Act (DFEC) has released new guidelines implementing service limitations for injection CPT codes 20550, 20551, 20552, 20553, and 20526, which goes into effect August 1, 2013.
CPT codes 20550 and 20551 will reimburse 4 encounters within a 12 month period with no additional encounters for the claimant after that year, and for the same case number.
CPT codes 20552 and 20553 will reimburse 10 encounters within a 12 month period with no additional encounters for the claimant after that year, and for the same case number.
CPT code 20526 will reimburse 3 injections within a 12 month period.
Effective 08/01/2013, The Office of Workers' Compensation (OWCP) will no longer utilize DOL homegrown procedure codes RP120, RP130 AND RP200 (Pain Management). When rendering Pain Management services, providers are to bill and/or submit for prior authorizations using the appropriate HCPCS/CPT codes applicable for the services. Request for prior authorizations for pain management services should include but not be limited to a complete and detailed treatment plan.
If you or someone you know has a medical condition not related to a workers' compensation injury or illness and doesn't have health insurance, or if you are a physician treating someone without health insurance, please click here
to learn about the new Health Insurance Marketplace created under the Affordable Care Act.