20 CFR 30.706
§ 30.706 How are the maximum fees for professional medical services defined?
United States · 20 CFR — Employees' Benefits · Status: effective
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- Citation
- 20 CFR 30.706, § 30.706 How are the maximum fees for professional medical services defined?, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/76818
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Full text
For professional medical services, OWCP shall maintain a schedule of maximum allowable fees for procedures performed in a given locality. The schedule shall consist of: An assignment of a Relative Value Unit (RVU) to procedures identified by HCPCS/CPT code which represents the relative skill, effort, risk and time required to perform the procedure, as compared to other procedures of the same general class; an assignment of Geographic Practice Cost Index (GPCI) values which represent the relative work, practice expenses and malpractice expenses relative to other localities throughout the country; and a monetary value assignment (conversion factor) for one unit of value for each coded service.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.