Hawaii workers’ comp

Code 27447 — maximum allowable reimbursement

HAWAII, GUAM

Maximum allowable (non-facility)

$1,271.39

Single statewide rate

Show your work — how this rate is computed

By statute (HAR §16-23-115), Hawaii sets the workers’-comp maximum at 110% of the Medicare fee for this code in the HAWAII, GUAM Medicare locality.

Medicare fee = $1,155.81
  = [ (Work 19.11 × 1.00) + (PE 11.58 × 1.14) + (MP 4.02 × 0.58) ] × $33.4009
× 110%
= $1,271.39
  • RVUs: CMS National Physician Fee Schedule Relative Value File; GPCIs: CMS Geographic Practice Cost Indices (the HAWAII, GUAM Medicare locality).
  • The 110%-of-Medicare rule: Hawaiiworkers’ comp statute (HAR §16-23-115) source ↗
  • The Medicare fee itself is verified to the penny against the CMS Physician Fee Schedule Look-Up Tool; a code Medicare does not price is shown as an honest gap.

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