# Florida — Workers' compensation medical fee schedule conversion factors by US state — reimbursement rates, service category breakdowns, fee schedule basis, and effective dates

For Florida, fee schedule basis is percentage of Medicare; primary conversion factor ($) is 175 percent of the reimbursement allowed by Medicare; surgery conversion factor ($) is 210 percent of the reimbursement allowed by Medicare; other conversion factors is Emergency services without an assigned maximum reimbursement allowance: 250 percent of Medicare (provision expires June 30, 2026); outpatient scheduled surgeries: 60 percent of charges; update methodology is By July 1 of each year the department notifies carriers and self-insurers of the physician and nonhospital services schedule of maximum reimbursement allowances, recorded from its source on 2026-08-18.

- **State:** Florida _(verified: appears in the quote below)_
- **Fee schedule basis:** percentage of Medicare _(verified: appears in the quote below)_
- **Primary conversion factor ($):** 175 percent of the reimbursement allowed by Medicare _(verified: appears in the quote below)_
- **Surgery conversion factor ($):** 210 percent of the reimbursement allowed by Medicare _(verified: appears in the quote below)_
- **Other conversion factors:** Emergency services without an assigned maximum reimbursement allowance: 250 percent of Medicare (provision expires June 30, 2026); outpatient scheduled surgeries: 60 percent of charges _(our reading, not quoted from the source)_
- **Update methodology:** By July 1 of each year the department notifies carriers and self-insurers of the physician and nonhospital services schedule of maximum reimbursement allowances _(our reading, not quoted from the source)_
- **Source citation:** Fla. Stat. § 440.13(12)(f)-(g) _(our reading, not quoted from the source)_

## What the source says

> (f)  Maximum reimbursement for a physician licensed under chapter 458 or chapter 459 shall be 175 percent of the reimbursement allowed by Medicare, using appropriate codes and modifiers or the medical reimbursement level adopted by the three-member panel as of January 1, 2003, whichever is greater. (g)  Maximum reimbursement for surgical procedures shall be 210 percent of the reimbursement allowed by Medicare or the medical reimbursement level adopted by the three-member panel as of January 1, 2003, whichever is greater.

## Source

- https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0440/Sections/0440.13.html

Last verified: 2026-08-18. Review by: 2027-02-14.
Part of [Workers' compensation medical fee schedule conversion factors by US state — reimbursement rates, service category breakdowns, fee schedule basis, and effective dates](https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/).