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MLFS Evaluation Types
Updated March 2026

Medical-Legal Fee Schedule (MLFS)

Legal basis: 8 CCR §9795

Definition

The fee schedule established by the DWC Administrative Director that sets maximum allowable fees for medical-legal evaluations, reports, and related services. It classifies reports into categories (ML-101 through ML-106) based on complexity, with specific billing codes for record review, face-to-face time, and supplemental reports.

Key Facts About MLFS 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 Medical-Legal Fee Schedule (MLFS)?

The fee schedule established by the DWC Administrative Director that sets maximum allowable fees for medical-legal evaluations, reports, and related services. It classifies reports into categories (ML-101 through ML-106) based on complexity, with specific billing codes for record review, face-to-face time, and supplemental reports.

What is the legal basis for MLFS in California workers' compensation?

Medical-Legal Fee Schedule is governed by 8 CCR §9795 under California workers' compensation law. This statute defines the requirements, procedures, and standards for medical-legal fee schedule in the workers' compensation system as of 2026.

How much does a MLFS evaluation cost in California?

Medical-Legal Fee Schedule 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.