Virginia Administrative Code › Title 16 - LABOR AND EMPLOYMENT › Agency 30 - VIRGINIA WORKERS' COMPENSATION COMMISSION › Chapter 110 - MEDICAL FEE SCHEDULES REGULATIONS › Section 16VAC30-110-10 - Definitions

Current through Register Vol. 40, No. 24, July 15, 2024
The following words and terms when used in this chapter shall
				  have the following meanings unless the context clearly indicates
				  otherwise:
"Commission" means the Virginia Workers' Compensation
				  Commission.
"Community" means one of the six medical communities as
				  defined in §
									65.2-605A of
				  the Code of Virginia.
"Ground rules"
1.
				For medical services rendered during the period from January 1, 2018, through
				December 31, 2019, means the 2018 Medical Fee Schedule Ground Rules adopted by
				the commission on June 13, 2017, and revised on July 18, 2019, incorporated by
				reference in this chapter and available on the commission's website at
				https://www.workcomp.virginia.gov/documents/2018-mfs-ground-rules.
2. For medical services rendered during the
				period from January 1, 2020, through December 31, 2021, means the 2020 Medical
				Fee Schedule Ground Rules adopted by the commission on July 18, 2019, and
				revised on October 17, 2019, incorporated by reference in this chapter and
				available on the commission's website at
				https://www.workcomp.virginia.gov/documents/2020-medical-fee-schedules-ground-rules.
3. For medical services rendered during the
				period from January 1, 2022, through December 31, 2023, means the 2022 Medical
				Fee Schedule Ground Rules adopted by the commission on June 29, 2021,
				incorporated by reference in this chapter and available on the commission's
				website at
				https://www.workcomp.virginia.gov/documents/2022-medical-fee-schedules-ground-rules.
4. For medical services rendered during the
				period from January 1, 2024, through December 31, 2025, means the 2024 Medical
				Fee Schedule Ground Rules adopted by the commission on August 17, 2023,
				incorporated by reference in this chapter and available on the commission's
				website at
				https://www.workcomp.virginia.gov/medical-fee-services/2024-medical-fee-schedules-ground-rules.
"Medical services" means any medical, surgical or hospital
				  service required to be provided to an injured person pursuant to Title 65.2 of
				  the Code of Virginia, exclusive of a medical service provided in the treatment
				  of a traumatic injury or serious burn as those terms are defined in §
									65.2-605A of
				  the Code of Virginia.
"Virginia fee schedules"
1. For medical services rendered during the
				period from January 1, 2018, through December 31, 2019, means the 2018 Medical
				Fee Schedules adopted by the commission on June 13, 2017, and revised on
				November 14, 2017, incorporated by reference in this chapter and available on
				the commission's website at
				https://www.workcomp.virginia.gov/content/2018-medical-fee-schedule.
2. For medical services rendered during the
				period from January 1, 2020, through December 31, 2021, means the 2020 Medical
				Fee Schedules adopted by the commission on July 18, 2019, and revised on
				October 17, 2019, incorporated by reference in this chapter and available on
				the commission's website at
				https://www.workcomp.virginia.gov/content/2020-virginia-medical-fee-schedules.
3. For medical services rendered during the
				period from January 1, 2022, through December 31, 2023, means the 2022 Medical
				Fee Schedules adopted by the commission on June 29, 2021, incorporated by
				reference in this chapter and available on the commission's website at
				https://www.workcomp.virginia.gov/content/2022-virginia-medical-fee-schedules.
4. For medical services rendered during the
				period from January 1, 2024, through December 31, 2025, means the 2024 Medical
				Fee Schedules adopted by the commission on August 17, 2023, incorporated by
				reference in this chapter and available on the commission's website at
				https://www.workcomp.virginia.gov/medical-fee-services/2024-medical-fee-schedules.
Statutory Authority: §
											65.2-605 of the Code of
					 Virginia.