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NEWSLINE
Release Number: 2024-88
Date: October 9, 2024

DWC Posts Additional Adjustments to Official Medical Fee Schedule (Hospital Outpatient Departments/Ambulatory Surgical Centers)

The Administrative Director of the Division of Workers’ Compensation (DWC) issued an Order dated October 1, 2024 adjusting the Hospital Outpatient Departments and Ambulatory Surgical Centers section of the Official Medical Fee Schedule (OMFS) to conform to the quarterly changes in the Medicare payment system as required by Labor Code section 5307.1. Subsequently, on October 2, 2024, the Centers for Medicare and Medicaid Services (CMS) issued revised fee schedule documents for the October update.

DWC has posted an order adjusting the Hospital Outpatient Departments and Ambulatory Surgical Centers fee schedule to adopt the following Medicare updates:

Additional October 2024 Quarterly Update

  • The CMS Medicare Hospital Outpatient Prospective Payment System (OPPS) October 2024 Addendum A-updated 10/02/2024
  • The CMS Medicare OPPS October 2024 Addendum B-updated 10/02/2024

The updated order dated October 8, 2024 adopting the OMFS adjustments is effective for services rendered on or after October 1, 2024 and is posted on the DWC website’s OMFS page.