Medical Service Providers

The Victim Compensation Program may pay for medical and medically related expenses that are caused by a crime, including but not limited to:

Medical Bills

Medical bills must be submitted on a Centers for Medicare & Medicaid Services (CMS) 1500 or 1450 form and must contain:

ICD-10 Codes

CalVCB will transition to the International Classification of Diseases (ICD) 10 codes for inpatient services and medical diagnoses on October 1, 2015. The ICD is used to standardize codes for medical conditions, diagnoses, and institutional procedures. This change is concurrent with the Centers for Medicare and Medicare Services (CMS) transition from the ICD-9 to ICD-10 codes.

Please note, there are no changes to the Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes used for outpatient, ambulatory, and office-based procedure coding.

To ease the transition, CalVCB will accept both the ICD-9 and ICD-10 codes until December 31, 2015. Effective January 1, 2016, bills not containing the ICD-10 codes will be returned. For more information about converting ICD-9 to ICD-10 codes, visit the American Academy of Professional Coders website or the CMS website.

Reimbursement Rates

Rates for Medical and Medical Related Services are: