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Release Number: 2021-72
Date: July 8, 2021

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

The Division of Workers’ Compensation (DWC) has posted an order adjusting the Official Medical Fee Schedule (OMFS) to conform to changes in the Medicare payment system as required by Labor Code section 5307.1.

On June 16, 2021, the DWC Administrative Director issued an order adjusting the OMFS Physician and Non-Physician Practitioner Fee Schedule to adopt relevant Medicare physician fee schedule changes for Quarter 3 of 2021. Subsequently, on June 30, 2021, the Centers for Medicare and Medicaid Services (CMS) issued a revised file for Quarter 3 of 2021. The DWC update order adopts the RVU21C – Updated 06/30/2021 (ZIP) file to supersede the previous file for services rendered on or after July 1, 2021. The other provisions of the June 16, 2021 update order have not been revised and remain in effect.

The order adopting the above OMFS adjustment is posted on the physician services and non-physician practitioner services fee schedule webpage.