Bill the evaluation the schedule actually pays for.
A comprehensive evaluation includes 200 pages of records; every page after that is three dollars. An agreed medical evaluator with an interpreter is ×1.45, not 1.1 × 1.35. A scheduled deposition carries a two-hour minimum. Choose the code, enter the pages or the time, and see the fee line by line.
The medical-legal fee schedule (8 CCR §9795, since April 1, 2021)
| Code | Service | Relative value | Fee ($16.25 per RV) | Records included |
|---|---|---|---|---|
| ML200 | Missed appointment for a comprehensive or follow-up medical-legal evaluation | 31 | $503.75 | 200 pages; $3 per page after |
| ML201 | Comprehensive medical-legal evaluation | 124 | $2,015.00 | 200 pages; $3 per page after |
| ML202 | Follow-up medical-legal evaluation | 81 | $1,316.25 | 200 pages; $3 per page after |
| ML203 | Supplemental medical-legal report | 40 | $650.00 | 50 pages; $3 per page after |
| ML204 | Medical-legal testimony (per quarter-hour or portion) | 7 | $113.75 per quarter-hour | — |
| ML205 | Review of sub rosa recordings (per quarter-hour or portion) | 5 | $81.25 per quarter-hour | — |
ML200 pays for pages above 200 only when record review and the report were completed within 30 days. ML204 pays the lesser of the schedule and the physician’s usual fee, with a two-hour minimum for a scheduled deposition and one hour when it is cancelled fewer than eight calendar days ahead.
Modifier combinations are fixed, not multiplied
Single modifiers: -93 interpreter ×1.1 (ML201/ML202 only), -94 agreed medical evaluator ×1.35, -96 psychiatric ×2.0, -97 toxicology ×1.5, -98 oncology ×1.5. -92 and -95 identify the physician and change nothing. Combinations the regulation lists:
- -93 + -94 = ×1.45
- -93 + -96 = ×2.1
- -94 + -96 = ×2.35
- -93 + -94 + -96 = ×2.45
- -93 + -97 = ×1.6
- -94 + -97 = ×1.85
- -93 + -94 + -97 = ×1.95
- -93 + -98 = ×1.6
- -94 + -98 = ×1.85
- -93 + -94 + -98 = ×1.95
The rules behind these tools run inside ChironAI OM on every case and every bill, so nobody in your practice has to count days by hand.
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