Nothing in this section shall preclude an employer (or insurance carrier) from
entering into payment agreements to promote the continuity of care and the reduction of health care costs.
Such payment agreements, if less, will supersede the limitation amounts specified herein. Please refer to
K.S.A 44-510i(e) for further clarification, if necessary.
NATIONAL CORRECT CODING INITIATIVE (NCCI) EDITS: In order to promote correct coding
methodologies and to control improper coding leading to inappropriate payments, the Kansas Division of
Workers Compensation Schedule of Medical Fees recognizes the 2014 National Correct Coding
Initiatives (NCCI) Edits as established by the Centers for Medicare and Medicaid Services (CMS) as
the primary standard of reference. The NCCI Edits are not requirements, nor are they mandates or
standards; they simply provide advice for correct coding methodologies. Bills must be itemized by
procedure code, date of service, and amount of charge.
CALCULATION EXAMPLES:
1: In a procedure with a Basic Unit Value of 3.0 requiring one hour and forty-five minutes of
anesthesia time, the total value should be determined as follows:
Basic Unit Value = 3.0 units
105 minutes÷15 minutes = 7.0 units
Total value = 10.0 units
2: In a procedure with a Basic Unit Value of 10.0 requiring four hours and twenty minutes of
anesthesia time, the total value should be determined as follows:
Basic Unit Value = 10.0 units
First three hours = 12.0 units
Subsequent 80 minutes = 8.0 units
Total value = 30.0 units
