Labor & Industries Medical Aid Rules and Fee Schedules (MARFS) for 2025
The Department of Labor & Industries has published the 2025 edition of the Medical Aid Rules and Fee Schedules (MARFS), effective July 1, 2025.
Major fee schedule updates for 2025:
- The professional fee schedule cost of living adjustment (COLA) is 1%.
- The facility fee schedule COLA is 1%.
- The conversion factor is $58.33.
- The anesthesia conversion factor is $58.65 per 15 minutes.
- The daily cap for both physical therapy and occupational therapy services is $149.45.
- The daily cap for massage is $112.09.
New in 2025: We have updated the list of chapters in MARFS! For 2025 we have added three new chapters, added three new appendices, and revised the location of most policies. A policy crosswalk is available on our website.
Significant policy updates:
Chapter 3: Attending Providers clarifies the role and expectations for attending providers. This chapter encompasses several provider types and various restrictions that may apply. It also includes a new policy for consultation services. A separate policy specific to physical medicine services for attending providers (1044M) was added.
Chapter 5: Care Coordination includes significant updates to telephone call codes and updates to align online communications. Nurse case management services also received an update that includes new billing codes, revised reporting requirements, and changes to authorization limits.
See Frequently Asked Questions for changes to telephone calls.
Chapter 7: Durable Medical Equipment (DME) and Supplies clarifies the invoice requirements for prosthetic and orthotic services.
Chapter 17: Mental Health and Behavioral Health Interventions (BHI) now includes information regarding activity coaching via the use of the Progressive Goal Attainment Program (PGAP(R)) form. Policies in this chapter also clarify who may treat mental health conditions. Neuropsychological and psychological testing and evaluation policies further clarify who may perform these services, and includes a new section on how to bill.
Chapter 18: Other Services includes a new policy on claimant (worker) reimbursement. Changes were made to the obesity policy to allow nutritionists to create a weight loss plan.
Chapter 20: Physical Medicine includes updates to the chiropractic care services policy, clarifying the use of visit codes.
Chapter 24: Telehealth, Remote, and Mobile Services now includes a policy on mobile clinics and virtual reality devices. Clarifications have been made to telehealth, audio-only, and other related service policies throughout the chapter.
Key reminders:
- Any further updates or corrections will be noted on the Updates and Corrections webpage.
- Case management telephone calls and online communications aren't payable when transmitting information that is found in L&I forms, such as APFs.
For payment policy and fee schedule questions, please contact HPPM@Lni.Wa.Gov.
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