MLFS Code(s)

ML204 - Fees for Medical-Legal Testimony

MLFS Grade

F

Claims Administrator

Sedgwick Claims Management Services

Bill Review Vendor

Sedgwick CMS National Bill Review

Employer

Orange County Zone

EOR Adjustment Reason

561 - According to the state fee schedule, this procedure code is not considered a valid reimbursable code. Please re-submit with a valid code.

Second Review Reason to dispute incorrect reimbursement

Claims administrator incorrectly denied reimbursement. Per CCR §9795, if a deposition is cancelled fewer than 8 calendar days before the scheduled deposition date, the physician shall be paid a minimum of one hour for the scheduled deposition. ML204 payment due: $455.00. In addition to payment, penalties and interest are now due.