OHIO REFERENCE · RATES CHECKED JULY 2026

W3235 is $81.90 at Level 1.
$84.40 if you bill the W2.

The plan-implementation family, the non-leveled assessment codes, what a “unit” means in two different places on the same page of the same fee schedule, and how six minutes prints as a 1 in box 24G. If you came here to check one rate before a bill goes out, it is in the first table.

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The rate you came for

The plan-implementation family.

Four codes carry most of a vocational rehab week: the call, the review, the plan-and-auth request, the report. They are leveled. The bare code bills Level 1; the same code with W2 on the end bills Level 2. The level belongs to the case, not to the activity — which is why the wrong variant is an underpayment nobody at the MCO will correct for you.

CodeWhat you are billing Level 1Level 2 (W2 suffix)
W3207VRCM phone call or email$81.90$84.40 (W3207W2)
W3220Documentation review by the VRCM$81.90$84.40 (W3220W2)
W3230Plan and auth request writing$81.90$84.40 (W3230W2)
W3235Report writing by the VRCM$81.90$84.40 (W3235W2)

Per hour of your time, billed in tenths — see the arithmetic below. Current as of July 2026 — verify with Ohio BWC. Schedule effective October 1, 2025 (OAC 4123-18-09).

There is a third level: the same code with W3 on the end, at its own third rate. And these four are a pattern, not the whole family — it repeats across face-to-face contact (W3217), letter writing (W3236), labor market surveys (W3239) and TSA report writing (W3240), each with its W2 and W3 twins. Rather than print numbers here we cannot date, the complete schedule is the appendix to the rule: OAC 4123-18-09, voc-rehab fee schedule (PDF).

The other half of the schedule

The codes with no level on them.

Before a leveled plan exists — the file review, the first calls, the initial assessment — and on cases BWC never leveled, you are in the W30xx set. One rate, no suffix, nothing to get wrong except using it after the plan is leveled.

CodeWhat you are billingRate
W3007VRCM phone call or email$91.00
W3017VRCM face-to-face meeting$91.00
W3020Documentation review by the VRCM$91.00
W3025Initial assessment report writing$91.00

Per hour, billed in tenths. Current as of July 2026 — verify with Ohio BWC. Schedule effective October 1, 2025 (OAC 4123-18-09).

Travel time, wait time, mileage and the plan-implementation outcome payments are their own codes on the same schedule and are priced on a different basis — mileage per mile, outcome payments per case, not per hour. They are in the same PDF. We would rather send you there than print a number on a marketing page that you then bill from.

The part that causes short-pays

A unit is six minutes. $81.90 is the hour.

The word “unit” does two jobs in this system and nobody warns you. The schedule figure is the hour. The form counts tenths of it. Here is the arithmetic, and it has to come out this way every time.

W3207, Level 1, on the schedule$81.90 / hour
You were on the phone six minutes0.1
What you charge$8.19
What box 24G says1

Twelve minutes is 0.2 — two units, $16.38. Thirty minutes is 0.5 — five units, $40.95. A full hour is 1.0 — ten units, $81.90. And an hour of W3020, which carries no level, is that same hour at $91.00.

Count-based codes do not get multiplied. Mileage goes on the form as itself: 23 miles is 23 in box 24G, never 230. Time ×10, counts as-is. Mixing those two up is the most common self-inflicted short-pay in Ohio voc rehab, and it is invisible until the remittance comes back light.

None of this is difficult. It is just done thirty times a day, by hand, at 9 p.m.

A filled CMS-1500 showing W3207 for 5 units at $40.95, W3220 for 1 unit at $8.19, and a total charge of $106.47
The same arithmetic, filled: W3220 at one unit is $8.19; W3207 at five is $40.95; the week totals $106.47 in box 28. Synthetic claimant, synthetic claim number.
Which set you are in

W, B and Z.

W-codes — BWC and Job Retention

The core vocational rehab set: phone and email, face-to-face, documentation review, report and letter writing, plan and auth requests, labor market surveys, travel, wait time and mileage. The code never decides between BWC and Job Retention — the two case types share the W-codes, and the distinction lives on the case.

B-codes — self-insured

Consultations, record review, assessments and analysis for self-insured employers. B-codes carry no schedule rate. The rate is whatever you agreed for that engagement, which is why they have to be priced per case and never per code — a fee-schedule lookup will show them at zero, and that is correct.

Z-codes — Remain at Work

The RAW mirror of the W set: contact, documentation, reporting, travel, wait time and mileage, including the other-provider travel, wait and mileage variants, for keeping an injured worker on the job instead of returning them to it.

Every October, the numbers move

“Do I have to retype the whole schedule again in the fall?”

No. BWC republishes the vocational rehab fee schedule with an October effective date; the one on this page took effect October 1, 2025, and the next is expected October 2026. In Med Claims Pro a new schedule arrives as a dated update you accept. Nothing is retyped and nothing is recalculated behind you.

The part that matters more than convenience: rates are effective-dated. A March activity keeps March’s rate forever, even after October changes it. That is not a nicety — it is the difference between a clean audit and explaining, two years later, why a filed bill and your records disagree by twenty-five cents a unit.

You type the code and the minutes once. The daily Excel log, the weekly Word tracking log, the CMS-1500 and the receivable row all get the same $8.19, because they are all reading the same entry. How the entry works.

Where these numbers come from

Schedule
Ohio BWC vocational rehabilitation fee schedule, effective 1 October 2025.
Rule
Ohio Administrative Code 4123-18-09 and its appendix.
Unit basis
Tenths of an hour. 0.1 = 6 minutes. Box 24G carries tenths as whole numbers.
Levels
Bare code = Level 1 · W2 suffix = Level 2 · W3 suffix = Level 3.
Who you bill
The injured worker’s MCO, not BWC. All nine, with numbers.
Timely filing
One year in Ohio. Keep the fax confirmation.
Last checked
July 2026, against the sources below.
The daily billing log showing W3207, W3220, W3235, W3230 and W3020 entries with rates and charges
One day, seven entries, $213.85 — W3207 at 0.1 for $8.19, W3020 at a full hour for $91.00, each with the time range in the note. Everything downstream is built from these rows. Synthetic caseload.

Sources. OAC 4123-18-09 fee schedule (PDF) · BWC Provider Billing & Reimbursement Manual, Chapter 3 — Vocational Rehabilitation (PDF) · BWC Provider Look-up. This is a practitioner’s reference, not official BWC guidance. Confirm against current BWC and MCO publications before you rely on it for a billing or regulatory decision.

What this table is not. This is the vocational rehabilitation schedule. It is not BWC’s medical fee schedule. If you are billing physical therapy, chiropractic, behavioural health or physician services to an Ohio MCO, your codes are CPT, your rates live somewhere else entirely, and other vendors serve you better than we would.

Questions, answered.

What is the W3235 rate right now?

$81.90 an hour at Level 1 and $84.40 at Level 2 (billed as W3235W2), on the schedule effective 1 October 2025 under OAC 4123-18-09. You bill it in tenths of an hour, so a 30-minute report is 0.5 — five units in box 24G — and $40.95. Current as of July 2026; verify with Ohio BWC before you file.

Is a unit six minutes or an hour? I have seen both.

Both, and that is exactly the trap. The fee schedule figure — $81.90, $84.40, $91.00 — is the hour. The CMS-1500 counts tenths of an hour, so one unit in box 24G is six minutes and $8.19 at Level 1. Twelve minutes is 2 units and $16.38. Get the two senses of the word crossed and the bill is off by a factor of ten in whichever direction hurts.

What does the W2 on the end of a code mean?

The complexity level of the case. The bare code bills Level 1, the W2 suffix bills Level 2, the W3 suffix bills Level 3. The level is a fact about the case, not about the activity, so every activity on that case carries the same suffix until the level changes.

I billed W3207 on a Level 2 case. How much did that cost me?

$2.50 an hour — 25 cents a unit. On a 30-minute report that is $1.25, which is small enough that nobody catches it and it happens all week. Ohio gives you a year to file, so a rebill is usually still open; the fix is to catch it at entry, by having the level attached to the case rather than remembered.

Why do B-codes show a $0 rate everywhere I look?

Because self-insured rates are negotiated per engagement, not published per code. A fee-schedule lookup showing zero is telling the truth. Billing software should prompt for the case rate rather than quietly putting $0 on a form.

When do these rates change?

BWC republishes the voc-rehab schedule with an October effective date; the current one took effect 1 October 2025 and the next is expected October 2026. What matters more than the change is that old activities keep their old rates — in Med Claims Pro every rate is effective-dated, so a schedule update never rewrites what you already filed.

Is this page official BWC guidance?

No. It is a practitioner-built reference, last checked July 2026, matching the schedule the software ships with. The primary sources are linked on the page: OAC 4123-18-09 and the BWC Provider Billing & Reimbursement Manual, Chapter 3. Confirm against those before making a regulatory decision.

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