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ML-104 Evaluation Types
Updated March 2026

Follow-Up Medical-Legal Report (ML-104)

Legal basis: 8 CCR §9795

Definition

A medical-legal report that involves re-examination of the injured worker after the initial comprehensive evaluation, typically to assess changed conditions, new treatment, or determine permanent and stationary status. Billed under the ML-104 code in the medical-legal fee schedule.

Key Facts About ML-104 in 2026

QME Physicians in CA

~2,500

Evaluation Fee Range

$2,500-$4,000

Report Deadline

30 days

Avg AI-Assisted Turnaround

14 days

Related Terms

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Frequently Asked Questions

What is a Follow-Up Medical-Legal Report (ML-104)?

A medical-legal report that involves re-examination of the injured worker after the initial comprehensive evaluation, typically to assess changed conditions, new treatment, or determine permanent and stationary status. Billed under the ML-104 code in the medical-legal fee schedule.

What is the legal basis for ML-104 in California workers' compensation?

Follow-Up Medical-Legal Report is governed by 8 CCR §9795 under California workers' compensation law. This statute defines the requirements, procedures, and standards for follow-up medical-legal report in the workers' compensation system as of 2026.

How much does a ML-104 evaluation cost in California?

Follow-Up Medical-Legal Report evaluation fees vary depending on the complexity of the case and the physician's specialty. Under California's Official Medical Fee Schedule (OMFS), medical-legal evaluation rates are updated annually. For current 2026 rates, consult the DWC fee schedule or contact IMEPro for guidance.