Independent Medical Examination To Evaluate Medical Aspects Of

A CASE. (1) An Independent Medical Examination (“IME”), performed to evaluate the medical aspects of a case (other than one conducted under the Bureau’s MIRR Program), shall be billed using RULES FOR MEDICAL PAYMENTS CHAPTER 0800-02-17 state-specific codes and shall include the practitioner’s time only. Time spent shall include the office visit (face-to-face time with the patient), time spent reviewing records, reports and studies, and time spent preparing reports. State-specific code Z0610 shall be used to bill the first hour (shall not exceed $500). State-specific code Z0611 shall be used to bill each additional half hour (shall not exceed $250 per half hour). State-specific code Z0310- Impairment Rating (Form Completion) shall not be billed for IME services or in combination with codes Z0610 and Z0611, see 0800-02-17-.25. (2) Prepayment for an Independent Medical Examination shall not exceed $500. (3) Any laboratory procedure, x-ray procedure, and any other test which is needed to establish the worker’s ability to return to work shall be identified by the appropriate procedure code established by this rule and reimbursed accordingly.