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New York Codes Rules Regulations (Last Updated: March 27,2024) |
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TITLE 12. Department of Labor |
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Appendices |
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Appendix C-6. |
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STATE OF NEW YORK WORKERS' COMPENSATION BOARD OFFICE OF THE CHAIRMAN OUTPATIENT HOSPITAL RATE SCHEDULE Effective 7/1/95-6/30/96 The proposed Outpatient Hospital Fee Schedule was prepared and established pursuant to Chapter 453 Laws of 1984 and will be filed in the Office of the Department of State. This schedule will constitute Sections 329.6 and 329.7 of Title 12 of the Official Compilation of Codes, Rules and Regulations of the State of New York. These charges are for use in payment of claims under the Workers' Compensation Law, the Volunteer Firefighters' Benefit Law and the Volunteer Ambulance Workers' Benefit Law.  Chairman WORKERS' COMPENSATION SCHEDULE OF RATES FOR OUTPATIENT HOSPITAL SERVICES Effective 7/1/95 - 6/30/96 Room other than operating room when used for minor surgery or emergency treatment: For the medical service provided whether by employed staff, attending staff or by contractual arrangement with the physician groups the fee for this service is the fee indicated in the Schedule of Medical Fees. For the hospital providing intern or resident staffing or by physician group contractual coverage the total fee is the fee for physician services as indicated in the Schedule of Medical Fees plus the fee for use of the Emergency Service Room as shown in this schedule. When the care is provided by an attending physician, the hospital fee is the Emergency Service Room fee as shown in this schedule, with the physician billing separately. Note: These fees include common or ordinary medications.
Materials supplied by the Emergency Room (i.e., sterile trays, medications, etc.) over and above those usually included with the Emergency Room visit may be charged for separately. Itemize these on the bill submitted. COMMON OR ORDINARY DRUGS COVERED BY THE EMERGENCY ROOM HOSPITAL RATES A study was undertaken to determine the low-cost drugs which a large number of hospitals in New York State regard as fairly common or ordinary and for which no charges are made apart from the inclusive Emergency Room rates. A partial list of such drugs is furnished below. It is expected that the list will be enlarged or augmented from time to time. In the meanwhile, the drugs shown below or on any future similar list or heretofore regarded as common or ordinary or any additional drugs so regarded should be considered as covered by the applicable Emergency Room rate. No charge should be made for any drugs, whether or not listed hereunder, in connection with hospitalized patients. Current List of "No Charge" Drugs and Pharmaceutical Supplies Acetaminophen 325 mg. tablet Alcohol 70 percent Alcohol swabs Antacid (e.g. Mylanta, Maalox, etc.) Aspirin 325 mg. tablet Aromatic Spirits of Ammonia Atropine 2 percent Ophthalmic Solution Atropine 0.4 mg/ml Bacitracin ointment Castor Oil Calamine lotion Collodion Flexible Cold Cream Clinitest tablets Dibucaine 1 percent ointment (e.g. Nupercainal) Epinephrine Injection Ethyl Chloride spray Gelfoam Glycerine suppository Hematest tablets Hydrocortisone 1 percent ointment Hydrogen Peroxide Iodine Ipecac Syrup Lidocaine 2 percent viscous (e.g. Xylocaine) Lidocaine 1 percent with/without Epinephrine Lidocaine 2 percent with/without Epinephrine Lidocaine 5 percent ointment Lindane lotion (e.g. Kwell) Lubricating jelly Magnesium Sulfate Meperidine injection (e.g. Demerol) Merthiolate Neomycin and Polymyxin B Sulfates w/Hydrocortisone ophthalmic suspension (e.g. Cortisporin) Nitroglycerin 0.4 mg. s. 1. tablet Nitroglycerin 0.6 mg. s. 1. tablet Peppermint Spirit Petrolatum Providone-Iodine solution (e.g. Betadine) Pralidoxime Chloride (e.g. Protopam) Silver Nitrate Sticks Silver Sulfadiazine cream (e.g. Silvadene) Sodium Chloride - injection Sodium Chloride for irrigation Sterile Water for irrigation Talcum powder Tetanus Toxoid Tuberculin PPD (1st and 2nd strength) Witch Hazel Zinc Oxide ointment WORKERS' COMPENSATION OUTPATIENT HOSPITAL RATE SCHEDULE WESTERN NEW YORK REGION EFFECTIVE 7/1/95 — 6/30/96
WORKERS' COMPENSATION OUTPATIENT HOSPITAL RATE SCHEDULE ROCHESTER NEW YORK REGION EFFECTIVE 7/1/95—6/30/96
WORKERS' COMPENSATION OUTPATIENT HOSPITAL RATE SCHEDULE CENTRAL NEW YORK REGION EFFECTIVE 7/1/95—6/30/96
WORKERS' COMPENSATION OUTPATIENT HOSPITAL RATE SCHEDULE NORTHEASTERN NEW YORK REGION EFFECTIVE 7/1/95—6/30/96
WORKERS' COMPENSATION OUTPATIENT HOSPITAL RATE SCHEDULE NORTHERN METROPOLITAN REGIO EFFECTIVE 7/1/95—6/30/96
WORKERS' COMPENSATIO OUTPATIENT HOSPITAL RATE SCHEDULE LONG ISLAND REGION EFFECTIVE 7/1/95—6/30/96
WORKERS' COMPENSATION OUTPATIENT HOSPITAL RATE SCHEDULE NEW YORK CITY REGION EFFECTIVE 7/1/95—6/30/96
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