Here is the CURRENT Billing Regs Listing.
http://www.dir.ca.gov/t8/9795.htmlWhat you have to do is cite the multiple complexity factors of of ML-103 which make it comply with the ML-104 level. So, on page one of the report a PSYCHOLOGIST can include the ML-103 listing of (8) A psychiatric or psychological evaluation which is the primary focus of the medical-legal evaluation. Here is what my page one typically looks like.
BILLING METHOD: THIS IS A PANEL Q.M.E MEDICAL-LEGAL EVALUATION. THIS REPORT IS BEING BILLED UNDER ML104 OF REGULATION 9795. THIS IS DUE TO THE FOLLOWING QUALIFYING FACTORS:
1) Two or more hours of face-to-face time were spent with the patient.
2) Two or more hours of record review were required.
3) Two or more hours of medical research were required, to examine issues related to the clinical and medical-legal issues pertinent to the case.
4) Six or more hours spent on any combination of three complexity factors (1)-(3), which shall count as three complexity factors
5) Addressing the issue of medical causation upon written request of the party or parties requesting the report, or if a bona fide issue of medical causation is discovered in the evaluation
6) Complex issues of permanent and stationary status, temporary disability, permanent disability and apportionment were addressed, upon request of the party or parties requesting the report.
7) A complex and comprehensive psychological evaluation which was the primary focus of this medical-legal evaluation.
Now a psychologist has that little extra item 7, other doctors do not. My understanding is that it has been M.D.s other than psychologists or psychiatrists that have had the problem with acceptance on ML-104.