PART A (Tables A through J) and PART B

This site provides the 2016 Workers' Compensation Fee Schedule for Part A (Tables A through J) and Part B medical providers.
BWC Goes Green … The chargemaster quarterly update memo is now provided on the CD distributed to all providers/insurers/repricers. Feel free to print a copy of the memo in PDF format from this website or contact Karla Henneman at khenneman@pa.gov.
Please read the Fee Schedule Update Memo* which accompanies the March 2016 updates. The memo is available in PDF format.
Click here to get Acrobat Reader You will need the Adobe Acrobat Reader to successfully view/print some information. This software is provided free of charge and you may download the latest version by clicking on the 'Get Acrobat Reader' button.
If you are unable to access this memo using the free Adobe Acrobat Reader, please contact us for a hard copy of this memo at: 717-787-3486.*
Questions or comments may be sent to: dnovakovic@pa.gov
If you are unfamiliar with the WC Fee Schedule, please read:

Fee Schedule Introductory Letter
The Fee Schedule is provided below in HTML and PDF formats.

Important Notes and Instructions

  • Table EF-1 is the new BWC approved ASC procedure table containing all approved ASC procedures with their corresponding group number. This table is to be used in conjunction with either Tables E or F as it was developed to help alleviate the questions and concerns.
  • Table I is not available online. To obtain Table I, please contact the Bureau of Workers' Compensation by e-mail or telephone, 717-787-3486.
  • The Workers' Compensation Fee Schedule is best viewed at 800 x 600 pixels.
  • Please be patient when accessing these pages. The size of the Part B Fee Schedule and some of the Part A Tables are large and require some time to load. If you require assistance with these tables, please e-mail or telephone, 717-787-3486.
Please note that this is a courtesy copy of the fee schedule and is not to be used for repricing.

Part A Tables

HTML Version
PDF Version*


Provider #390001 to #390125
Provider #390127 to #99993
Table A: Prospective Payment System


DRG #1 to #200
DRG #201 to #400
DRG #401 to #495
Table B: Federal Register Table 5


Provider #395001 to #395421
Provider #395422 to 395700
Provider #395701 to #99995
Table C: Skilled Nursing Facilities


Provider #397001 to #397302
Provider #397400 to #99991
Table D: Home Health Agency


Ambuatory Surgical Centers Table E: Ambulatory Surgical Centers


ASC Procedure Table Table EF-1: Ambulatory Surgical Center List


Ambulatory Surgical Centers Providers Table F: Ambulatory Surgical Centers Providers


Physical Therapy Per Visit Based Provider & OP End Stage Renal Dialysis Table Table G: Physical Therapy Per Visit Based Provider & OP End Stage Renal Dialysis Table


Pharmacy RCC Table H: Pharmacy RCC


Out-of-State RCC Table J: Out-of-State RCC

Part B Tables

Part B Available from individual pages.
* PDF does not currently meet Accessibility Standards
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