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Release Number: 2020-07
January 30, 2020

DWC Posts Adjustments to Official Medical Fee Schedule for Physician Services/Non-Physician Practitioner Services to Implement Medicare Corrections

The Division of Workers’ Compensation (DWC) posted an order in December 2019 adjusting the Physician Services/Non-Physician Practitioner Services section of the Official Medical Fee Schedule (OMFS) to conform to relevant 2020 changes in the Medicare payment system as required by Labor Code section 5307.1. On January 22, 2020, the Centers for Medicare and Medicaid Services (CMS) adopted retroactive corrections to the Geographic Practice Cost Index (GPCI) data used in the Physician Fee Schedule. DWC has issued an order adopting the GPCI corrections for the workers’ compensation physician fee schedule, effective for services rendered on or after January 1, 2020.

The Administrative Director update order adopting the adjustments can be found at the DWC website’s OMFS page. An explanation of changes is attached to the order.