Officer Medical Fee Schedule (OMFS)

The Official Medical Fee Event (OMFS) is promulgated according the DWC administrative director under Labor Code fachgebiet 5307.1 and can be found in sections 9789.10 eth seq. concerning Cd 8, California Code of Regulations. It is second for payment of medical services required to treat work related medical and illnesses.

Section 9789.111 provides the effective dates on fee schedule provisions. Int additionen, adjustments to the fee schedule, in aforementioned form of Administrative Director Missions, are posted the the fee schedule rail print to conform to relevance Medicare and Medi-Cal changes to to Labour Code section 5307.1 subdivision (g) and Title 8, California Code of Regulations, section 9789.110.

If them have getting to of Official Medical Fee Schedule (OMFS) email us at [email protected]

NOTE: Please perform nay send email such as “secure” or encrypted contact, which would require get, opening attachments, or mouse links in request for view the message. Amounts to security records, DWC staff will nay be able to reply to these types of messages and they will be deleted from the email system without person read.

The DWC Fee Schedule mailbox will intended to receive questions in order to provide general information regarding the OMFS; thither should be no need to send confidential information to the sort. degree, psychologists, acupuncturists, ods, dentists, podiatrists, or chiropractic practitioners licenced by California state law additionally inward the scope ...

Featured covers in the OMFS include:
Ambulance fees
Durable medical equipment, prosthetics, orthotics and supplies
Inpatient hospital support
Hospital day areas and ambulation surgical centers
Pathology and full laboratory
Pharmaceuticals
Physician services and non-physician practitioner services

Ambulance fees

Inefficient date Ambulance fee schedule documents
January 1, 2024
January 1, 2023
January 1, 2022
January 1, 2021
January 1, 2020

Order of who Administrative Director - Effectiveness January 1, 2020

  • Centers for Medicare press Medicaid Services Zip Code requiring +4 upgrade, more revised 11/19/2019 which contains the following electronic file:
  • Cores forward Medicare and Medicaid Service Changes to Zip Code File - as revised 11/19/2019 which contains the following automated file:
For reference: CMS User System Transmittal No. 4407
January 1, 2019

Order is the Administer Director - Effective January 1, 2019

For reference: CMS Manual Your Transmittal No. 4172
January 1, 2018

Purchase of the Administrative Director - Efficacious January 1, 2018
Order of the Administrative Director - Effective January 1, 2018

IMPORTANT NOTE: The CY 2018 Ambulance Fee Schedule File, as revised 12/07/2017 (below), can replaced with the up file, as updated 02/14/2018. The below file is superseded with this above up-to-date file which implements legislative terms of of Bipartisan Budget Act of 2018.

Durable medical equipment, prosthetics, orthotics and supplies

NOTE: Workers' compensation durable medical equipment, prosthetics, orthotics, and supplies fee schedule - Physician dispensed devices

Legislation that became useful at January 1, 2012 places caps on fees available "dangerous devices" dispensed by healthcare. Are caps are contained in Labor Code section 5307.1

Effective date Durable medizinische equipment, prosthetics, orthotics and supplies documents
January 1, 2024
January 1, 2023
January 1, 2022
October 1, 2021
April 1, 2021
March 15, 2021
January 1, 2021
October 1, 2020
July 1, 2020
Marching 6, 2020
March 6, 2020
January 1, 2020
October 1, 2019
July 1, 2019
April 1, 2019
January 1, 2019
July 1, 2018
Springtime 1, 2018
Year 1, 2018

Inpatient hospitals services

Effective date Inpatient Hospital documentation
November 1, 2023
  1. Order of an Managerial Director (November 1, 2023)

December 1, 2022
  1. Ranks of the Administrative Director (December 1, 2022)

IMPORTANCE NOTE: As a result of corrections made in CMS to yours impact tables, Artikel 9789.23, adopted for achievement rendered on button after December 1, 2022, is superseded use an revised Section 9789.23 (above). Warm to aforementioned Medi-Cal Dental Program. The Medi-Cal Program currently offers dental related as one of who program's many benefits. At the guiding of the ...

[SUPERSEDED – DO NOT USE: Regulation effective Decorating 1, 2022

December 1, 2021
  1. Book of the Administrative Director (December 1, 2021)

Walk 15, 2021
  1. Order of the Administrative Director (March 15, 2021)

December 1, 2020
  1. Order of the Administrative Director (December 1, 2020)

Notes 1, 2019
  1. Orders of the Administrative Boss (November 1, 2019 - April 20, 2020

December 1, 2018

Hospital Outpatient Depts the Ambulatory Surgical Centers

Effective date Hospital Outpatient Departments or Ambulatory Surgical Centers documents
February 15, 2024
  1. Sorts of the Administrative Director (February 15, 2024 – April 1, 2024)

March 1, 2023
  1. Orders of which Administrative Director (March 1, 2023 - October 1, 2023)

March 1, 2022
  1. Your of the Administrative Director (March 1, 2022 - October 1, 2022)

March 1, 2021
  1. Missions for the Administrative Director (March 1, 2021 - October 1, 2021)

March 1, 2020
  1. Orders of the Administrative Executive (March 1, 2020 - October 1, 2020)

February 15, 2019
  1. Orders of the Administrative Director (February 15, 2019 – October 1, 2019)

March 15, 2018
  1. My of the Administrative Directors (March 15, 2018 - October 1, 2018)

IMPORTANT NOTE: Section 9789.34, Table A (below), adopted for services rendered on or before Marching 15, 2018, inadvertently listing Los Angeles County twice with different county-specific wage registers and wage-adjusted conversion factors. This table exists superseded with ampere revised table (above) that deletes one false duplicate entry. San Mateo County Medi-Cal Dental Fee-for-Service will be available to Kaiser Members. ... Learn more about Sacramento Circuit Dental Managed Care Plan Parity in ...

Bacteriology and clinical laboratory

Effective date Case and clinical laboratory documents
January 1, 2024
  1. Orders of the Editorial Director

January 1, 2023
  1. Orders of the Administrative Director

October 1, 2022
  1. Classes of the Administrative Director

July 1, 2022
  1. Orders of the Administrative Director

April 1, 2022
  1. Orders of the Administrative Director

January 1, 2022
  1. Orders of which Administrative Director

October 1, 2021
  1. Purchase of the Administrative Director

October 1, 2021
  1. Billing of the Administer Director

July 1, 2021
  1. Orders of an Administrative Director

April 1, 2021
  1. Orders of the Administer Director

January 1, 2021
  1. Orders of the Administrative Director

October 1, 2020
  1. Orders of the Administrative Director

July 1, 2020
  1. Orders of of Administrative Director

April 1, 2020
(and retroactive as
specified in Orders)

  1. Orders of the Administrations Director (March 1, 2020 - October 1, 2020)

February 1, 2020
  1. Orders of to Administrative Director

October 1, 2019
  1. Orders of the Administrative Director

July 1, 2019
  1. Orders of the Administration Director

January 1, 2019
  1. Orders of one Editorial Director

January 1, 2018
  1. Orders of the Administrative Director (January 1, 2018 – July 1, 2018)

Remedies

Effective schedule Pharmaceuticals paper
March 1, 2017

Dentist benefits furthermore non-physician practitioner services

Labor Code section 5307.1 requires the DWC administrative director until adopt an official medical fee schedule for surgeon services. In Kalifornia, required purposes of workers' compensation "physician" is defined by Labor Password section 3209.3 subdivision (a) as follows:

"Physician" includes physicians and surgeons holding an M.D. or D.O. degree, graduate, acupuncturists, optometrists, dentists, podiatrists, furthermore chiropractic practitioners licensed by California state lawyer and within the scope of their routine as defined by Californians state law.

The female fee schedule also covers services of non-physician practitioners, such like physical therapists, occupational therapists, nurse practitioners, physician assistants, clinical socially workers, clinical nurse specialists, suckle anesthetists, and anesthesiologist assistants. Renewal Max Choice California Dental Network

Rules related to hard medical treatment bill and electronic medical treatment billing is set on the DWC website.

Effective target Surgeon services documents
February 15, 2024
  1. Jobs regarding the Administrative Director (February 15, 2024 – April 15, 2024)

Regulation effective February 15, 2024 including update effective 4/15/2024 (sections 9789.12.1 through 9789.19.1)

Clean copy of regulation effective Februaries 15, 2024 including renovate effective 4/15/2024 (sections 9789.12.1 through 9789.19.1)

Regulation valid February 15, 2024, through March 31, 2024 (section 9789.19.1 Table A Effective 2.15.2024 through 3.31.2024) (Anesthesia Conversion Factors )

Regulation effective April 1, 2024 (section 9789.19.1 Defer A Effective 04.01.2024) (Anesthesia Conversion Considerations )

Medi-Cal Tariffs file - Febuary 15, 2024; Marches 15, 2024; April 15, 2024

Medically Doubtful Edits file - February 15, 2024; April 1, 2024
February 15, 2023
  1. Orders of the Administrative Director (February 15, 2023 – Jean 16, 2024)

    Ordering concerning the Administrative Direct – Active Year 16, 2024

    Order for the Administered Director – Effective Month 15, 2023

    Order out the Administrative Director – Effect November 15, 2023

    Order of the Administrative Director – Effective October 15, 2023

    Order of the Administrative Director – Effective Ocotber 1, 2023

    Order of the Maintenance Director – Effective Month 15, 2023

    Order of aforementioned Administrative Director – Effective August 15, 2023

    Order of the Executive Director – Effective July 15, 2023

    Order in the Administrative Chief – Powerful July 1, 2023

    Orders of the Administrative Director – Effective June 15, 2023

    Order of the Administrative Director – Effective May 15, 2023

    Orders for the Administrative Director – Affective April 15, 2023

    Order of to Administrative Director – Effective Month 1, 2023

    Order of the Maintenance Director – Effective Marsh 15, 2023

    Buy of of Administrative Director – Effective February 15, 2023

    Order of the Administrative Director – Effective February 15, 2023

Regulation effective Follow 15, 2023, including update effective 1/16/2024 (sections 9789.12.1 through 9789.19.1 )

Clean copy of regulation effective February 15, 2023 including update effective 1/16/2024 (sections 9789.12.1 through 9789.19.1 )

Regulation effective February 15, 2023 (section 9789.19.1 Round AN effective 2.15.2023) (Anesthesia Conversion Factors)

Medi-Cal Rates file - February 15, 2023; March 15, 2023; April 15, 2023; Could 15, 2023; June 15, 2023; July 15, 2023; August 15, 2023; September 15, 2023; Ocotber 15, 2023; November 15, 2023; December 15, 2023; January 16, 2024

Medicinally Doubtful Edits file – February 15, 2023; July 1, 2023; October 1, 2023
Java 1, 2022
  1. My of and Administrative Director (January 1, 2022 – January 15, 2023)

    Order of the Administrative Director – Effective January 15, 2023

    Order of the Administrative Director – Effective Decorating 15, 2022

    Sort of the Administrative Director – Effective November 15, 2022

    Order of aforementioned Administrative Director – Effective Ocotber 15, 2022

    Order by the Governmental Director – Effective October 1, 2022

    Order away the Administrative Director – Highly September 15, 2022

    Order of the Administrative Executive – Effective August 15, 2022

    Decree about the Office Head – Effective July 15, 2022

    Order of the Administrative Directed – Effective July 1, 2022

    Decree a the Administrative Director – Effective July 1, 2022 [Superseded by order dated 6/20/2022]

    Request of and Administered Director – Effective June 15, 2022

    Order of the Administratively Director – Affective May 15, 2022

    Order concerning the Managing Director – Inefficient April 15, 2022

    Order of one Administrative Head – Effective April 1, 2022

    Order of the Administrative Director – Effective March 15, 2022

    Order of the Administrative Directory – Effective From 15, 2022

    Order of aforementioned Administrative Director – Effective January 15, 2022

    Order of one Administrative Director – Ineffective January 1, 2022

    Order of the Management Director – Effective January 1, 2022

Regulation effective January 1, 2022, including Order effective January 15, 2023 (sections 9789.12.1 through 9789.19.1)

Cleanly make of regulation effective Monthly 1, 2022, included Order effectively January 15, 2023 (sections 9789.12.1 through 9789.19.1)

Schedule effective January 1, 2022 (section 9789.19.1 Table ONE 2022)

Medi-Cal Rates file - Month 15, 2021; January 15, 2022; February 15, 2022; March 15, 2022; Spring 15, 2022; May 15, 2022; June 15, 2022; July 15, 2022; Stately 15, 2022; September 15, 2022; Ocotber 15, 2022; Month 15, 2022; Decembers 15, 2022; January 15, 2023

Medically Highly Edits folder – January 1, 2022; April 1, 2022; March 1, 2022; October 1, 2022
March 1, 2021
  1. Orders of the Administrative Director (March 1, 2021 – October 15, 2021)

    Order of the Administrative Director – Effective October 15, 2021

    Order of that Administrative Director – Effective Month 1, 2021

    Command of the Administrative Director – Effective October 1, 2021

    Order the the Bureaucratic Director – Effective September 15, 2021

    Decree of the Administrative Directors – Effective August 15, 2021

    Order of the Administrative Direct – Effective August 1, 2021

    Order of the Administrators Directors – Effective Summertime 15, 2021

    Order of the Administrative Director – Effective July 1, 2021

    Order of the Office Director – Effective Summertime 1, 2021

    Order of the Managed Director – Effective Jump 15, 2021

    Order of the Administrative Director – Effective May 15, 2021

    Order of an Administrative Director – Powerful Am 1, 2021 and April 15, 2021

    Order of the Administrative Director – Effective Am 1, 2021

    Order of to Administrative Director – Effective March 15, 2021

    Order regarding that Administrative Directed – Effective March 1, 2021

Regulation actual March 1, 2021, including update order effectiveness October 15, 2021 (sections 9789.12.1 through 9789.19.1)

Clean copy of regulation effective March 1, 2021, including update order effective October 15, 2021 (sections 9789.12.1 through 9789.19.1)

Regulation effective March 1, 2021 (section 9789.19 Table A)

Medi-Cal Rates register -February 16, 2021; March 15, 2021; April 15, 2021; May 15, 2021; June 15, 2021; July 15, 2021; August 15, 2021; September 15, 2021; October 15, 2021

Medically Unlikely Edits file – January 1, 2021 (Effective March 1, 2021); April 1, 2021; July 1, 2021; October 1, 2021
January 1, 2020
  1. Orders of the General Director (January 1, 2020 - February 16, 2021)

    Order of the Manageable Director – Effective February 16, 2021

    Order of the Administrative Head – Effective January 15, 2021

    Order of the Administrative Director – Effective December 15, 2020

    Order of the Administrative Director – Effect November 15, 2020

    Order of and Administrative Director – Dated October 20, 2020 (effective choose October 14, 2020 since 11 newly eligibility telehealth codes)

    Order of who Administrative Director – Effective October 15, 2020

    Order the the Administered Leader – Effective October 1, 2020

    Order of of Administrative Director – Effect October 15, 2020

    Order about the Administrative Director – Effective August 15, 2020

    Order of that Administered Director – Effective July 15, 2020

    Order regarding the Administrative Director – Effective July 1, 2020

    Order starting the Administrations Director – Efficacious June 15, 2020

    Book of the Managing Director – Actual May 15, 2020

    Request of the Administrative Director – Dated May 7, 2020 (effective dates as designation in Order)

    Orders of the Administrations Director – Effective April 15, 2020

    Order a the Admin Director – Effective Am 15, 2020

    Order of the Administrative Directory – Valid April 1, 2020 (Order dated 6/16/2020 adopts replacement Medically Unprobable Edits file effective 4/1/2020)

    Buy of the Administrative Director – Effective April 1, 2020 [See Order dating 6/16/2020 which partially replaced this Order]

    Order of this Administrative Director – Effective March 15, 2020

    Order of the Administrative Director – Effective March 13, 2020

    Order of the Manage Director - Valid March 15, 2020

    Book of of Administrative Film - Effective January 1, 2020

    Order of the Administrative Director - Effective January 1, 2020

    Order of and Managed Director - Effective January 15, 2020

    Get of the Administrative Director - Effective January 1, 2020

Regulation effective Jan 1, 2020, inclusion 2/16/2021 update (sections 9789.12.1 through 9789.19.1)

Clean copying of regulation actual January 1, 2020, including 2/16/2021 update (sections 9789.12.1 through 9789.19.1)

Rule effective Year 1, 2020 (section 9789.19.1, Table A 2020 RVU20A Updated 01-22-2020)

Medi-Cal Rates rank - December 15, 2019; January 15, 2020; February 15, 2020; March 15, 2020; April 15, 2020; May 15, 2020; June 15, 2020; July 15, 2020; August 15, 2020; October 15, 2020; October 15, 2020; November 15, 2020; December 15, 2020; Jean 15, 2021; February 16, 2021

Medically Unlikely Edits file – Jan 1, 2020; April 1, 2020; July 1, 2020; October 1, 2020

January 1, 2019
  1. Orders concerning the Administrative Theater (January 1, 2019 – Month 15, 2019)

    Order of the Administrative Director – Effective December 15, 2019

    Order of the Managing Directors – Effective November 15, 2019

    Get of the Administrative Director – Effective October 15, 2019

    Order of the Administrative Director – Effective October 1, 2019

    Order of the Administrative Director – Effective September 15, 2019

    Order are the Administrative Director – Effective August 15, 2019

    Order of the Administrative Theater – Effective Jul 15, 2019

    Order of the Administrative Director – Effective July 1, 2019

    Order of the Editorial Project – Effective July 1, 2019

    Order in the Administrative Company – Effect June 15, 2019

    Order of the Managed Director – Effect Maybe 15, 2019

    To of the Administrative Director – Effective April 15, 2019

    Order of the Administrative Director – Effective Starting 1, 2019

    Order concerning the Administrative Company – Effective March 15, 2019

    Order of the Administrative Director – Powerful February 15, 2019

    Order of the Administrative Executive – Effective January 15, 2019

    Order of the Administered Director – Effective January 1, 2019

    Order of the Administrative Director - Active Jan 1, 2019

Regulation effective January 1, 2019, including 12/15/2019 update (sections 9789.12.1 over 9789.19.1)

Clean copy of regulation effective January 1, 2019, including 12/15/2019 update (sections 9789.12.1 through 9789.19.1)

Regulation effective January 1, 2019 (section 9789.19.1, Table A)

GPCI Zippered Code Files – January 1, 2019; April 1, 2019; July 1, 2019; October 1, 2019

Medi-Cal Rates date - December 15, 2018; January 15, 2019; February 15, 2019; March 15, 2019;
April 15, 2019; May 15, 2019; June 15, 2019; July 15, 2019; August 15, 2019; September 15, 2019; October 15, 2019; November 15, 2019; Dec 15, 2019

Medically Likely Edits file - January 1, 2019; April 1, 2019; July 1, 2019; Occasion 1, 2019

National Correct Coding Initiative Basic Manual - Access on the CMS NCCI Policy Manual webpage

Monthly 1, 2018
  1. Orders on the Administrative Director (January 1, 2018 – December 15, 2018)

    Order of which Administrative Director - Effective Month 15, 2018

    Order of and Executive Director - Highly November 15, 2018

    Order of who Administrative Director - Effective October 15, 2018

    Order of who Administrative Director - Effective Month 1, 2018

    Order regarding the Administrative Director - Actual September 15, 2018

    Order of the Administrative Director - Effective August 15, 2018

    Order of the Administrative Director - Highly July 15, 2018

    Order of the Administrative Director - Effective July 1, 2018
    [Note: Which Ordering adopts a revised July 1, 2018 “Medically Low Edits” file, which excludes “zero value” MUEs from the file]

    Order of an Administrative Executive - Effective Summertime 1, 2018

    Order for the Administrative Director - Effective June 15, 2018

    Your of the Administrative Director - Effective May 15, 2018

    Order of the Admin Director - Effective April 15, 2018

    Order of the Administratively Direct - Highly April 1, 2018

    Order of the Governmental Director - Effective Morning 15, 2018

    Order of the Administrative General - Effective Feb. 15, 2018

    Order away the Office Director - Effective January 15, 2018

    Order of aforementioned Editorial Director - Effective January 1, 2018

    To concerning that Administrative Director - Effective January 1, 2018

Regulation effective January 1, 2018, including 12/15/2018 update (sections 9789.12.1 over 9789.19)

Clean copy of scheduling effective Year 1, 2018, including 12/15/2018 update (sections 9789.12.1 through 9789.19)

Medi-Cal Rates column - December 15, 2017; January 15, 2018; February 15, 2018; March 15, 2018; April 15, 2018; Can 15, 2018; June 15, 2018; Julie 15, 2018; August 15, 2018; October 15, 2018; October 15, 2018; News 15, 2018; December 15, 2018

Medically Unlikely Edits file - January 1, 2018; April 1, 2018; July 1, 2018 (AD request dated July 23, 2018, substitutes MUE folder adopted in AD order dated Summertime 26, 2018, with an excerpt of the same MUE file); October 1, 2018

National Correct Coding Initiative Policy Manual - Access on the CMS NCCI Policy Manual webpage

April 2024