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

The Administrative Director of the Division of Workers’ Compensation (DWC) has posted an order 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.

The Hospital Outpatient Departments and Ambulatory Surgical Centers fee schedule update order adopts the following Centers for Medicare & Medicaid Services (CMS) Medicare changes:

Q2 2023 Quarterly Update

• The CMS Medicare Hospital Outpatient Prospective Payment System (OPPS) April 2023 Addendum A-updated 04/04/2023
• The CMS Medicare OPPS April 2023 Addendum B-updated 04/04/2023
• The CMS Ambulatory Surgical Center Payment System, April 2023 ASC Approved HCPCS Code and Payment Rates-Updated 04/03/2023-Column A entitled “HCPCS Code” of “April 2023 ASC AA” and Column A entitled “HCPCS Code” of “April 2023 ASC EE”
• The CMS Medicare OPPS April 2023 Integrated Outpatient Code Editor (I/OCE), IOCE Quarterly Data Files

The order adopting the OMFS adjustments is effective for services rendered on or after May 1, 2023 and is posted on the DWC website’s OMFS page.

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