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NEWSLINE
Release Number: 2023-40
Date: May 18, 2023

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 May 1, 2023 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, the Centers for Medicare and Medicaid Services (CMS) issued revised fee schedule documents for the Quarter Two update.

DWC has posted an order adjusting the Hospital Outpatient Departments and Ambulatory Surgical Centers fee schedule to adopt the following Medicare updates made May 10, 2023:

Q2 2023 Quarterly Update

  • The CMS Medicare Hospital Outpatient Prospective Payment System (OPPS) April 2023 Addendum A - updated 05/10/2023
  • The CMS Medicare OPPS April 2023 Addendum B- updated 05/10/2023

The updated order dated May 17, 2023 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.