How do I calculate proper billing amounts using the New York WCB Medical Fee Schedule?
Find the CPT code for the specific type of service. CPT codes, or Current Procedural Terminology codes, are numbers assigned to every task and service a medical practitioner may provide to a patient. Check the Relative Value Unit (RVU) listed. You then take the RVU number and multiply it by the “conversion factor” listed for that general type of medical service within that region.
In summary, multiply the RVU by the conversion factor to calculate appropriate fees. Note that numerous “Ground Rules” that are listed in the WCB Fee Schedule must also be accounted for.