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DWC Posts Additional Adjustment to Official Medical Fee Schedule (Medical Services / Non-Medical Practitioner Services)


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The Division of Workers’ Compensation (DWC) has issued an order adjusting the Official Medical Fee Schedule (OMFS) to comply with changes to the Medicare payment system, as required by Labor Code Section 5307.1 .

On December 23, 2021, the DWC Executive Director issued an Order Adjusting the OMFS Physician and Non-Physician Fee Schedule to adopt the relevant changes to the Medicare Physician Fee Schedule for the calendar year 2022. Subsequently, on January 5, 2022, the Centers for Medicare and Medicaid Services (CMS) released a revised telehealth list. The DWC Supplemental Updating Order adopts the revised Telehealth List to replace the previous file for services rendered on or after January 1, 2022. The updated telehealth list adopts three code changes: adopts new codes CPT 94625 and CPT 94626 (relating to professional services for outpatient pulmonary rehabilitation) and removes HCPCS code G0424 (relating to pulmonary rehabilitation with exercise).
The other provisions of the decree updating the calendar year 2022 of December 23, 2021 have not been revised and remain in force.

The order adopting the above OMFS adjustment is posted on the Physician Services and Non-Physician Practitioner Services Fee Schedule webpage.

The California Department of Industrial Relations, established in 1927, protects and enhances the health, safety and economic well-being of more than 18 million workers and helps their employers comply with state labor laws. DIR is housed within the Labor and Workforce Development Agency