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Compensation Vocational Rehabilitation Fee Schedule Page 1 of 2

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Ohio Bureau <strong>of</strong> Workers' <strong>Compensation</strong><br />

<strong>Vocational</strong> <strong>Rehabilitation</strong> <strong>Fee</strong> <strong>Schedule</strong><br />

BWC creates local billing codes for the delivery <strong>of</strong> vocational rehabilitation services. Definitions for these codes are specific to Ohio BWC<br />

and contain a brief description <strong>of</strong> the service. Policy supporting the use <strong>of</strong> these service codes is outlined in the MCO Policy Reference<br />

Guide.<br />

All service codes are paid per the identified fee for that code. <strong>Vocational</strong> rehabilitation case management interns will receive 85% <strong>of</strong> the fee.<br />

By Report (BR) - These are service codes that have no established fees for the identified service. The MCO is to be provided with a detailed<br />

report <strong>of</strong> the service and will determine the appropriate rate <strong>of</strong> reimbursement and follow standard bill reimbursement protocols for payment<br />

<strong>of</strong> vocational rehabilitation services.<br />

CODE DESCRIPTION AMOUNT<br />

W0610 COMPREHENSIVE VOCATIONAL EVALUATION PER HR. $70.00<br />

W0620 EMPLOYER BASED WORK ADJUSTMENT PER WEEK $300.00<br />

W0631 VOCATIONAL SCREENING, NOT TO EXCEED 4 HOURS. $70.00<br />

W0635 SITUATIONAL WORK ASSESSMENT, PER HR $37.50<br />

W0637 TRANSITIONAL WORK SERVICES PER 15 MINUTES $45.00<br />

W0638 BODY MECHANICS EDUCATION (BACK SCHOOL) $30.00<br />

W0641 JOB CLUB (REHAB.)PER SESSION 1 PER DAY MAX 13 DAYS TOTAL $32.50<br />

W0644 ERGONOMIC STUDY/JOB ANALYSIS BR<br />

W0645 JOB ANALYSIS BR<br />

W0647 AUTO REPAIRS REHAB.PLAN BR<br />

W0648 MEMBERSHIP Y'S,SPA,HEALTH CLUB(REHAB)MAX 3 MOS. $200.00<br />

W0650 JOB SEEKING SKILLS TRAINING (REHAB)PER PROGRAM $500.00<br />

W0660 JOB PLACEMENT AND DEVELOPMENT, PER 6 MINUTES $7.00<br />

W0662 WORK ADJUSTMENT(REHAB) PER WEEK MAX 12 $300.00<br />

W0663 JOB MODIFICATIONS (REHABILITATION) BR<br />

W0665 TOOLS/EQUIPMENT (REHABILITATION) $2,250.00<br />

W0672 JOB COACH PER HOUR $50.00<br />

W0674 CHILD/DEPENDENT CARE (REHABILITATION) BR<br />

W0691 REMEDIAL TRAINING (REHAB.) PER PROGRAM BR<br />

W0692 CO-OP TRAINING (REHAB) LESS THAN 1 YR. BR<br />

W0694 LONG TERM TRAINING OVER 1 YEAR INCLDS.SUPPLIES BR<br />

W0695 RETRAINING EXERCISE EQUIP. (REHAB) $700.00<br />

W0702 OCC.REHAB/WORK HARDENING, INITIAL 2 HOUR SESSION $128.25<br />

W0703 OCC. REHAB/WORK HARDENING, EA ADD'L HOUR $51.18<br />

W0710 WORK CONDITIONING PROGRAM ACTIVE TX PER HOUR $37.50<br />

W3000 VOC REHAB CM PC/EMAIL TO IW,REP, SF PLAN EA 6 MIN $7.00<br />

W3001 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO PHYSICIAN OR REP, PER 6 MIN $7.00<br />

W3002 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO EMPLOYER OR REP, PER 6 MIN $7.00<br />

W3003 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO BWC, PER 6 MIN $7.00<br />

W3004 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO MCO, PER 6 MIN $7.00<br />

W3005 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO SERVICE PROVIDER, PER 6 MIN $7.00<br />

W3006 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO OTHER, PER 6 MIN $7.00<br />

W3010 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W IW OR REP, PER 6 MIN $7.00<br />

W3011 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W PHYSICIAN OR REP, PER 6 MIN $7.00<br />

W3012 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W EMPLOYER OR REP, PER 6 MIN $7.00<br />

W3013 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W BWC, PER 6 MIN $7.00<br />

W3014 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W MCO, PER 6 MIN $7.00<br />

W3015 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MET W SERVICE PROVIDER, PER 6 MIN $7.00<br />

W3016 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W OTHER, PER 6 MIN $7.00<br />

W3020 DOCUMENTATION REVIEW BY VOCATIONAL REHAB CASE MANAGER, PER 6 MIN $7.00<br />

W3025 INITIAL ASSESSMENT REPORT WRITING BY VOCATIONAL REHAB CASE MANAGER, PER 6 MIN $7.00<br />

W3030 PLAN WRITING BY VOCATIONAL REHAB CASE MANAGER, PER 6 MIN $7.00<br />

W3035 REPORT WRITING BY VOCATIONAL REHAB CASE MANAGER, PER 6 MIN $7.00<br />

W3036 LETTER WRITING PER 6 MIN; VOC REHAB CASE MANAGER EA 6 MIN $7.00<br />

W3040 TSA REPORT WRITING BY VOCATIONAL REHAB CASE MANAGER, PER 6 MIN $7.00<br />

W3045 VOCATIONAL REHAB CASE MANAGER TRAVEL TIME, PER 6 MIN $3.50<br />

W3046 VOCATIONAL REHAB CASE MANAGER WAIT TIME, PER 6 MIN $3.50<br />

W3047 MILEAGE PER MILE; VOCATIONAL REHAB CASE MANAGER $0.30<br />

<strong>Page</strong> 1 <strong>of</strong> 2


Ohio Bureau <strong>of</strong> Workers' <strong>Compensation</strong><br />

<strong>Vocational</strong> <strong>Rehabilitation</strong> <strong>Fee</strong> <strong>Schedule</strong><br />

BWC creates local billing codes for the delivery <strong>of</strong> vocational rehabilitation services. Definitions for these codes are specific to Ohio BWC<br />

and contain a brief description <strong>of</strong> the service. Policy supporting the use <strong>of</strong> these service codes is outlined in the MCO Policy Reference<br />

Guide.<br />

All service codes are paid per the identified fee for that code. <strong>Vocational</strong> rehabilitation case management interns will receive 85% <strong>of</strong> the fee.<br />

By Report (BR) - These are service codes that have no established fees for the identified service. The MCO is to be provided with a detailed<br />

report <strong>of</strong> the service and will determine the appropriate rate <strong>of</strong> reimbursement and follow standard bill reimbursement protocols for payment<br />

<strong>of</strong> vocational rehabilitation services.<br />

CODE DESCRIPTION AMOUNT<br />

W3050 TRAVEL TIME PER 6 MIN; JOB CLUB, JOB COACH, JOB P AND D, JSST, VOC EVAL PROVIDER $3.50<br />

W3051 WAIT TIME, PER 6 MIN,; JOB CLUB, JOB COACH, JOB P AND D, JSST, VOC EVAL PROVIDER $3.50<br />

W3052 MILEAGE PER MILE; JOB CLUB, JOB COACH, JOB P AND D, JSST, VOC EVAL PROVIDER $0.30<br />

Z3000 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO IW OR REP, PER 6 MIN; RAW $7.00<br />

Z3001 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO PHYSICIAN OR REP, PER 6 MIN; RAW $7.00<br />

Z3002 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO EMPLOYER OR REP, PER 6 MIN; RAW $7.00<br />

Z3003 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO BWC, PER 6 MIN; RAW $7.00<br />

Z3004 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO MCO, PER 6 MIN; RAW $7.00<br />

Z3005 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO SERVICE PROVIDER, PER 6 MIN; RAW $7.00<br />

Z3006 VOCATIONAL REHAB CASE MANAGER PHONE CALL/E-MAIL TO OTHER , PER 6 MIN; RAW $7.00<br />

Z3010 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W IW OR REP, PER 6 MIN; RAW OR $7.00<br />

Z3011 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W PHYSICIAN OR REP, PER 6 MIN; RAW $7.00<br />

Z3012 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W EMPLOYER OR REP, PER 6 MIN; RAW $7.00<br />

Z3013 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W BWC, PER 6 MIN; RAW $7.00<br />

Z3014 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W MCO, PER 6 MIN; RAW $7.00<br />

Z3015 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W SERVICE PROVIDER, PER 6 MIN; RAW $7.00<br />

Z3016 VOCATIONAL REHAB CASE MANAGER FACE TO FACE MTG W OTHER, PER 6 MIN; RAW $7.00<br />

Z3020 DOCUMENTATION REVIEW BY VOCATIONAL REHAB CASE MANAGER, PER 6 MIN; RAW $7.00<br />

Z3025 INITIAL ASSESSMENT REPORT WRITING BY VOCATIONAL REHAB CASE MANAGER, PER 6 MIN; RAW $7.00<br />

Z3035 REPORT WRITING BY VOCATIONAL CASE MANAGER, PER 6 MIN; RAW $7.00<br />

Z3036 LETTER WRITING PER 6 MIN RAW; VOC REHAB CASE MANAGER $7.00<br />

Z3040 TSA REPORT WRITING BY VOCATIONAL REHAB CASE MANAGER, PER 6 MIN; RAW $7.00<br />

Z3045 TRAVEL TIME PER 6 MIN.; RAW; VOCATIONAL REHAB CASE MANAGER $3.50<br />

Z3046 WAIT TIME PER 6 MIN.; RAW; VOCATIONAL REHAB CASE MANAGER $3.50<br />

Z3047 MILEAGE, PER MILE; RAW; VOCATIONAL REHAB CASE MANAGER $0.30<br />

Z3050 TRAVEL TIME, PER 6 MIN.; RAW; JOB CLUB, JOB COACH, JOB P AND D, JSST, VOC EVAL PROVIDER $3.50<br />

Z3051 WAIT TIME, PER 6 MIN.; RAW; JOB CLUB, JOB COACH, JOB P AND D, JSST, VOC EVAL PROVIDER $3.50<br />

Z3052 MILEAGE PER MILE; RAW; JOB CLUB, JOB COACH, JOB P AND D, JSST, VOC EVAL PROVIDER $0.30<br />

<strong>Page</strong> 2 <strong>of</strong> 2

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