US DOL (OWCP / FECA) workers’ comp

Code 32097 — maximum allowable reimbursement

Maximum allowable (non-facility)

$1,327.17

Statewide range $1,327.17 – $1,857.43 across 109 localities

Show your work — how this rate is computed

US DOL (OWCP / FECA)prices workers’-comp physician services by the RBRVS formula: each RVU component is scaled by its WISCONSIN GPCI, summed, then multiplied by the conversion factor.

[ (Work 13.41 × PW GPCI 1.00)
  + (PE 6.32 × PE GPCI 0.96)
  + (MP 3.30 × MP GPCI 0.31) ]
= 20.48096 adjusted RVUs
× $64.8000 conversion factor
= $1,327.17
  • RVUs: CMS National Physician Fee Schedule Relative Value File CMS ↗
  • GPCIs: CMS Geographic Practice Cost Indices — by payment locality
  • Conversion factor $64.8000: US DOL (OWCP / FECA)workers’ comp fee schedule source ↗
  • Methodology verified to the penny against the CMS Physician Fee Schedule Look-Up Tool (national) and the state’s Medicare contractor (locality).

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Rates reflect each state’s published workers’ compensation fee schedule. Not legal, medical, billing, or coding advice.