DWC Posts Adjustments to Official Medical Fee Schedule for Physician and Non-Physician Practitioner Services

The Division of Workers’ Compensation (DWC) has posted an order adjusting the Physician and Non-Physician Practitioner Services section of the Official Medical Fee Schedule (OMFS) to conform to relevant 2025 changes in the Medicare payment system as required by Labor Code section 5307.1. The Administrative Director update order adopting the OMFS adjustments is effective for services rendered on or after February 1, 2025. The adjustments include the following:

• Updated relative value units
• Updated Current Procedural Terminology coding
• Updated conversion factors (including consideration of Medicare relative value scale adjustments; Medicare Economic Index 3.5% inflation factor; expiration of the Consolidated Appropriations Act, 2024 temporary 2.93% increase)
• Updated National Correct Coding Initiative Edits
• Updated Table A – anesthesia conversion factors adjusted for Geographic Practice Cost Index localities
• Updated telehealth list

The order, effective for services rendered on or after February 1, 2025, and related documents can be found at the DWC OMFS physician fee schedule webpage.

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