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 order adopts the following Centers for Medicare & Medicaid Services (CMS) Medicare changes:

July 2023 Quarterly Update

• The CMS Medicare Hospital Outpatient Prospective Payment System (OPPS) July 2023 Addendum A quarterly update
• The CMS Medicare OPPS July 2023 Addendum B quarterly update
• The CMS Ambulatory Surgical Center Payment System, July 2023 ASC Approved HCPCS Code and Payment Rates – Updated 06/29/2023, Column A entitled “HCPCS Code” of “CY 2023 Jul ASC AA” and Column A entitled “HCPCS Code” of “CY 2023 Jul ASC EE”
• Certain sections of the CMS Medicare OPPS July 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 July 1, 2023 and is posted on the DWC website’s OMFS page.

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