March 27, 2023

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) informally proposes amendments to 28 Texas Administrative Code (TAC) Chapter 133, General Medical Provisions and 28 TAC Chapter 134, Benefits–Guidelines for Medical Services, Charges, and Payments to improve the designated doctor (DD) program. Also posted with these amendments are billing examples for DD exams and a fee table showing the rates for DD exams, required medical exams, and maximum medical improvement and impairment rating exams for treating doctors and referral doctors.

To implement these improvements, DWC must adopt rules. We held stakeholder presentations in March and September 2022 to discuss specific possible changes to the billing methodology for DD exams and possible changes to DD exam reimbursement rates.

DWC will host a stakeholder presentation on the amendments to Chapters 133 and 134 on Thursday, December 1, 2022, at 1:30 p.m., Central time, to discuss updated amendments to rule language and feedback from system participants on the second informal proposal.

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