The Official Medical Fee Schedule (OMFS) is promulgated by the DWC administrative
director under Labor Code section 5307.1 and can be found in sections 9789.10
et seq. of Title 8, California Code of Regulations. It is used for payment of
medical services required to treat work related injuries and illnesses.
If you have questions regarding the Official Medical Fee Schedule (OMFS) email us at
DWCFeeSchedule@dir.ca.gov
NOTE: Please do not send email such as “secure” or encrypted email, which would require registration, opening attachments, or clicking links in order to view the message. Due to security protocols, DWC staff will not be able to respond to these types of messages and they will be deleted from the email system without being read.
The DWC Fee Schedule mailbox is intended to receive questions in order to provide general information regarding the OMFS; there should be no need to send confidential information to the mailbox.
Effective date |
Ambulance fee schedule documents |
January 1, 2024 |
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January 1, 2023 |
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January 1, 2022 |
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January 1, 2021
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January 1, 2020 |
Order of the Administrative Director - Effective January 1, 2020
- Centers for Medicare and Medicaid Services Zip Code to Carrier Locality File, as revised 11/19/2019 which contains the following electronic files:
ZPLC_JAN2020.zip
- Centers for Medicare and Medicaid Services Zip Code requiring +4 extension, as revised 11/19/2019 which contains the following electronic file:
- Centers for Medicare and Medicaid Services Changes to Zip Code File - as revised 11/19/2019 which contains the following electronic file:
For reference: CMS Manual System Transmittal No. 4407
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January 1, 2019 |
Order of the Administrative Director - Effective January 1, 2019
- Centers for Medicare and Medicaid Services Zip Code to Carrier Locality File, as revised 11/14/2018 which contains the following electronic files:
- Centers for Medicare and Medicaid Services Zip Code requiring +4 extension, as revised 11/14/2018 which contains the following electronic file:
- Centers for Medicare and Medicaid Services Changes to Zip Code File - as revised 11/14/2018 which contains the following electronic file:
For reference: CMS Manual System Transmittal No. 4172
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January 1, 2018 |
Order of the Administrative Director - Effective January 1, 2018
Order of the Administrative Director - Effective January 1, 2018
IMPORTANT NOTE: The CY 2018 Ambulance Fee Schedule File, as revised 12/07/2017 (below), is replaced with the above file, as updated 02/14/2018. The below file is superseded with the above updated file which implements legislative provisions of the Bipartisan Budget Act of 2018.
- [SUPERSEDED – DO NOT USE: Centers for Medicare and Medicaid Services CY 2018 Ambulance Fee Schedule File, as revised 12/07/2017 which contains the following electronic files:
- Centers for Medicare and Medicaid Services Zip Code requiring +4 extension, as revised 11/15/2017 which contains the following electronic file:
- Centers for Medicare and Medicaid Services Changes to Zip Code File - as revised 11/15/2017 which contains the following electronic file:
For reference: CMS Manual System Transmittal No. 3893
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Legislation that became effective on January 1, 2012 places caps on fees for "dangerous devices" dispensed by physicians. These caps are contained in
Labor Code section 5307.1
Effective date
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Hospital Outpatient Departments and Ambulatory Surgical Centers documents |
February 15, 2024
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Orders of the Administrative Director (February 15, 2024 – October 1, 2024)
Order of the Administrative Director – Effective October 1, 2024
Order of the Administrative Director – Dated August 9, 2024 (Effective July 1, 2024)
Order of the Administrative Director – Effective July 1, 2024
Order of the Administrative Director – Dated May 7, 2024 (Effective April 1, 2024)
Order of the Administrative Director – Effective April 1, 2024
Order of the Administrative Director – Dated February 22, 2024 (Effective February 15, 2024 )
Order of the Administrative Director - Effective February 15, 2024
- Regulation effective February 15, 2024, including October 1, 2024 (section 9789.30-9789.39)
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Clean copy of regulation effective February 15, 2024, including October 1, 2024 (section 9789.30-9789.39)
- Regulation effective February 15, 2024, (section 9789.34 Table A)
- Regulation effective February 15, 2024, including April 1, 2024, correction (section 9789.35 Table B)
- Access the Integrated OCE CMS specifications file on the CMS website: January 1, 2024 (V25.R0); April 1, 2024 (V251.R0); July 1, 2024 (252.R0) October 1, 2024 (253.R0)
- Notice of approval of regulatory action
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March 1, 2023
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Orders of the Administrative Director (March 1, 2023 - October 1, 2023)
- Regulation effective March 1, 2023, including October 1, 2023 update (section 9789.30-9789.39)
- Clean copy of regulation effective March 1, 2023, including October 1, 2023 update (section 9789.30-9789.39)
- Regulation effective March 1, 2023 (section 9789.34 Table A)
- Regulation effective March 1, 2023 (section 9789.35 Table B)
- Access the Integrated OCE CMS specifications files on the CMS website: January 1, 2023 (V240.R1); April 1, 2023 (V241.RO); July 1, 2023 (V242.R0); October 2023 (V243.R0)
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March 1, 2022
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Orders of the Administrative Director (March 1, 2022 - October 1, 2022)
Order of the Administrative Director – Dated November 21, 2022 (Effective October 1, 2022)
Order of the Administrative Director – Dated October 21, 2022 (Effective October 1, 2022)
Order of the Administrative Director – Effective October 1, 2022
Order of the Administrative Director – Dated July 20, 2022 (Effective July 1, 2022 )
Order of the Administrative Director – Effective July 1, 2022
Order of the Administrative Director – Dated May 12, 2022 (Effective April 1, 2022)
Order of the Administrative Director – Effective April 1, 2022
Order of the Administrative Director - Effective March 1, 2022
Order of the Administrative Director - Effective March 1, 2022
- Regulation effective March 1, 2022, including AD Update Order of November 21, 2022, effective October 1, 2022 (section 9789.30-9789.39)
- Clean copy of regulation effective March 1, 2022, including AD Update Order of November 21, 2022, effective October 1, 2022 (section 9789.30-9789.39)
- Regulation effective March 1, 2022 (section 9789.34 Table A)
- Regulation effective March 1, 2022 (section 9789.35 Table B)
- Access the Integrated OCE CMS specifications files on the CMS website: January 1, 2022 (V23.R0); April 1, 2022 (V23.1.); July 1, 2022 (V23.2); October 1, 2022 (V23.3)
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March 1, 2021 |
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Orders of the Administrative Director (March 1, 2021 - October 1, 2021)
Order of the Administrative Director – Dated November 19, 2021 (Effective October 1, 2021)
Order of the Administrative Director – Effective October 1, 2021
Order of the Administrative Director – Effective July 1, 2021
Order of the Administrative Director – Dated April 12, 2021 (Effective April 1, 2021)
Order of the Administrative Director - Effective April 1, 2021
Order of the Administrative Director -Dated March 3, 2021 (Effective March 1, 2021)
Order of the Administrative Director - Effective March 1, 2021
- Regulation effective March 1, 2021, including AD Update Order of November 19, 2021, effective October 1, 2021 (section 9789.30-9789.39)
- Clean copy of regulation effective March 1, 2021, including AD Update Order of November 19, 2021, effective October 1, 2021 (section 9789.30-9789.39)
- Regulation effective March 1, 2021 (section 9789.34 Table A)
- Regulation effective March 1, 2021 (section 9789.35 Table B)
- Access the Integrated OCE CMS specifications files on the CMS website:
January 1, 2021 (V220.R0); April 1, 2021 (V221.R0); July 1, 2021 (V222.R0); October 1, 2021 (V223.R1)
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March 1, 2020 |
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Orders of the Administrative Director (March 1, 2020 - October 1, 2020)
- Regulation effective March 1, 2020, including 10/1/2020 update (adopted by 10/7/2020 and 11/5/2020 update orders) (section 9789.30-9789.39)
- Clean copy of Regulation effective March 1, 2020, including 10/1/2020 update (adopted by 10/7/2020 and 11/5/2020 update orders) (section 9789.30-9789.39)
- Regulation effective March 1, 2020 (section 9789.34 Table A)
- Regulation effective March 1, 2020 (section 9789.35 Table B)
- Access the Integrated OCE CMS specifications files on the CMS website: January 1, 2020 (V21.0); April 1, 2020 (V21.1 R2); July 1, 2020 (V21.2); October 1, 2020 (V213.R1 Re-release posted 10/5/2020)
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February 15, 2019 |
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Orders of the Administrative Director (February 15, 2019 – October 1, 2019)
- Regulation effective February 15, 2019, including 9/25/2019 and 10/17/2019 updates (sections 9789.30–9789.39)
- Clean copy of regulation effective February 15, 2019, including 9/25/2019 and 10/17/2019 updates (sections 9789.30–9789.39)
- Regulation effective February 15, 2019 (section 9789.34 Table A)
- Regulation effective February 15, 2019 (section 9789.35 Table B)
- Access the Integrated OCE CMS specifications files on the CMS website: January 1, 2019 (V20.0); April 1, 2019 (V20.1); July 1, 2019 (V20.2); October 1, 2019 (V20.3)
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March 15, 2018 |
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Orders of the Administrative Director (March 15, 2018 - October 1, 2018)
- Regulation effective March 15, 2018, including 10/1/2018 update (sections 9789.30–9789.39)
- Clean copy of regulation effective March 15, 2018, including 10/1/2018 update (sections 9789.30–9789.39)
- Regulation effective March 15, 2018, revised February 27, 2018 (section 9789.34 Table A)
- Clean copy of regulation effective March 15, 2018, revised February 27, 2018 (section 9789.34 Table A)
IMPORTANT NOTE: Section 9789.34, Table A (below), adopted for services rendered on or after March 15, 2018, inadvertently listed Los Angeles County twice with different county-specific wage indexes and wage-adjusted conversion factors. This table is superseded with a revised table (above) that deletes the incorrect duplicate entry.
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Effective date
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Pathology and clinical laboratory documents |
January 1, 2024 |
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Orders of the Administrative Director
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January 1, 2023 |
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Orders of the Administrative Director
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October 1, 2022 |
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Orders of the Administrative Director
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July 1, 2022 |
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Orders of the Administrative Director
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April 1, 2022 |
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Orders of the Administrative Director
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January 1, 2022
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Orders of the Administrative Director
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October 1, 2021
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Orders of the Administrative Director
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July 1, 2021
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Orders of the Administrative Director
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April 1, 2021
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Orders of the Administrative Director
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January 1, 2021
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Orders of the Administrative Director
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October 1, 2020
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Orders of the Administrative Director
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July 1, 2020
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Orders of the Administrative Director
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April 1, 2020
(and retroactive as
specified in Orders) |
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Orders of the Administrative Director (March 1, 2020 - October 1, 2020)
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February 1, 2020
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Orders of the Administrative Director
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October 1, 2019
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Orders of the Administrative Director
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July 1, 2019
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Orders of the Administrative Director
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January 1, 2019
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Orders of the Administrative Director
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January 1, 2018
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Orders of the Administrative Director (January 1, 2018 – July 1, 2018)
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Labor Code section 5307.1 requires the DWC administrative director to adopt an official medical fee schedule for physician services. In California, for purposes of workers' compensation "physician" is defined by Labor Code section 3209.3 subdivision (a) as follows:
"Physician" includes physicians and surgeons holding an M.D. or D.O. degree, psychologists, acupuncturists, optometrists, dentists, podiatrists, and chiropractic practitioners licensed by California state law and within the scope of their practice as defined by California state law.
The physician fee schedule also covers services of non-physician practitioners, such as physical therapists, occupational therapists, nurse practitioners, physician assistants, clinical social workers, clinical nurse specialists, nurse anesthetists, and anesthesiologist assistants.
Effective date |
Physician services documents |
February 15, 2024 |
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Orders of the Administrative Director (February 15, 2024 – October 1, 2024)
Order of the Administrative Director – Effective October 1, 2024
Order of the Administrative Director – Effective September 15, 2024
Order of the Administrative Director – Effective August 15, 2024
Order of the Administrative Director – Effective July 15, 2024
Order of the Administrative Director – Effective July 1, 2024
Order of the Administrative Director – Effective June 15, 2024
Order of the Administrative Director – Effective May 15, 2024
Order of the Administrative Director – Effective April 15, 2024
Order of the Administrative Director – Effective April 1, 2024
Order of the Administrative Director – Effective March 15, 2024
Order of the Administrative Director – Effective February 15, 2024
Order of the Administrative Director – Effective February 15, 2024
Regulation effective February 15, 2024 including updates effective 9/15/2024 and 10/1/2024 (sections 9789.12.1 through 9789.19.1)
Clean copy of regulation effective February 15, 2024 including updates effective 9/15/2024 and 10/1/2024 (sections 9789.12.1 through 9789.19.1)
Regulation effective February 15, 2024, through March 31, 2024 (section 9789.19.1 Table A Effective 2.15.2024 through 3.31.2024) (Anesthesia Conversion Factors )
Regulation effective April 1, 2024 (section 9789.19.1 Table A Effective 04.01.2024) (Anesthesia Conversion Factors )
Medi-Cal Rates file - February 15, 2024; March 15, 2024; April 15, 2024; May 15, 2024; June 15, 2024; July 15, 2024; August 15, 2024; September 15, 2024
Medically Unlikely Edits file - February 15, 2024; April 1, 2024; July 1, 2024; October 1, 2024 |
February 15, 2023 |
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Orders of the Administrative Director (February 15, 2023 – January 16, 2024)
Order of the Administrative Director – Effective January 16, 2024
Order of the Administrative Director – Effective December 15, 2023
Order of the Administrative Director – Effective November 15, 2023
Order of the Administrative Director – Effective October 15, 2023
Order of the Administrative Director – Effective October 1, 2023
Order of the Administrative Director – Effective September 15, 2023
Order of the Administrative Director – Effective August 15, 2023
Order of the Administrative Director – Effective July 15, 2023
Order of the Administrative Director – Effective July 1, 2023
Order of the Administrative Director – Effective June 15, 2023
Order of the Administrative Director – Effective May 15, 2023
Order of the Administrative Director – Effective April 15, 2023
Order of the Administrative Director – Effective April 1, 2023
Order of the Administrative Director – Effective March 15, 2023
Order of the Administrative Director – Effective February 15, 2023
Order of the Administrative Director – Effective February 15, 2023
Regulation effective February 15, 2023, including update effective 1/16/2024 (sections 9789.12.1 through 9789.19.1 )
Clean copy of regulation effective February 15, 2023 including update effective 1/16/2024 (sections 9789.12.1 through 9789.19.1 )
Regulation effective February 15, 2023 (section 9789.19.1 Table A effective 2.15.2023) (Anesthesia Conversion Factors)
Medi-Cal Rates file - February 15, 2023; March 15, 2023; April 15, 2023; May 15, 2023; June 15, 2023; July 15, 2023; August 15, 2023; September 15, 2023; October 15, 2023; November 15, 2023; December 15, 2023; January 16, 2024
Medically Unlikely Edits file – February 15, 2023; July 1, 2023; October 1, 2023 |
January 1, 2022 |
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Orders of the Administrative Director (January 1, 2022 – January 15, 2023)
Order of the Administrative Director – Effective January 15, 2023
Order of the Administrative Director – Effective December 15, 2022
Order of the Administrative Director – Effective November 15, 2022
Order of the Administrative Director – Effective October 15, 2022
Order of the Administrative Director – Effective October 1, 2022
Order of the Administrative Director – Effective September 15, 2022
Order of the Administrative Director – Effective August 15, 2022
Order of the Administrative Director – Effective July 15, 2022
Order of the Administrative Director – Effective July 1, 2022
Order of the Administrative Director – Effective July 1, 2022 [Superseded by order dated 6/20/2022]
Order of the Administrative Director – Effective June 15, 2022
Order of the Administrative Director – Effective May 15, 2022
Order of the Administrative Director – Effective April 15, 2022
Order of the Administrative Director – Effective April 1, 2022
Order of the Administrative Director – Effective March 15, 2022
Order of the Administrative Director – Effective February 15, 2022
Order of the Administrative Director – Effective January 15, 2022
Order of the Administrative Director – Effective January 1, 2022
Order of the Administrative Director – Effective January 1, 2022
Regulation effective January 1, 2022, including Order effective January 15, 2023 (sections 9789.12.1 through 9789.19.1)
Clean copy of regulation effective January 1, 2022, including Order effective January 15, 2023 (sections 9789.12.1 through 9789.19.1)
Regulation effective January 1, 2022 (section 9789.19.1 Table A 2022)
Medi-Cal Rates file - December 15, 2021; January 15, 2022; February 15, 2022; March 15, 2022; April 15, 2022; May 15, 2022; June 15, 2022; July 15, 2022; August 15, 2022; September 15, 2022; October 15, 2022; November 15, 2022; December 15, 2022; January 15, 2023
Medically Unlikely Edits file – January 1, 2022; April 1, 2022; July 1, 2022; October 1, 2022
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March 1, 2021 |
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Orders of the Administrative Director (March 1, 2021 – October 15, 2021)
Order of the Administrative Director – Effective October 15, 2021
Order of the Administrative Director – Effective October 1, 2021
Order of the Administrative Director – Effective October 1, 2021
Order of the Administrative Director – Effective September 15, 2021
Order of the Administrative Director – Effective August 15, 2021
Order of the Administrative Director – Effective August 1, 2021
Order of the Administrative Director – Effective July 15, 2021
Order of the Administrative Director – Effective July 1, 2021
Order of the Administrative Director – Effective July 1, 2021
Order of the Administrative Director – Effective June 15, 2021
Order of the Administrative Director – Effective May 15, 2021
Order of the Administrative Director – Effective April 1, 2021 and April 15, 2021
Order of the Administrative Director – Effective April 1, 2021
Order of the Administrative Director – Effective March 15, 2021
Order of the Administrative Director – Effective March 1, 2021
Regulation effective March 1, 2021, including update order effective October 15, 2021 (sections 9789.12.1 through 9789.19.1)
Clean copy of regulation effective March 1, 2021, including update order effective October 15, 2021 (sections 9789.12.1 through 9789.19.1)
Regulation effective March 1, 2021 (section 9789.19 Table A)
Medi-Cal Rates file -February 16, 2021; March 15, 2021; April 15, 2021; May 15, 2021; June 15, 2021; July 15, 2021; August 15, 2021; September 15, 2021; October 15, 2021
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January 1, 2020 |
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Orders of the Administrative Director (January 1, 2020 - February 16, 2021)
Order of the Administrative Director – Effective February 16, 2021
Order of the Administrative Director – Effective January 15, 2021
Order of the Administrative Director – Effective December 15, 2020
Order of the Administrative Director – Effective November 15, 2020
Order of the Administrative Director – Dated October 20, 2020 (effective date October 14, 2020 for 11 newly eligible telehealth codes)
Order of the Administrative Director – Effective October 15, 2020
Order of the Administrative Director – Effective October 1, 2020
Order of the Administrative Director – Effective September 15, 2020
Order of the Administrative Director – Effective August 15, 2020
Order of the Administrative Director – Effective July 15, 2020
Order of the Administrative Director – Effective July 1, 2020
Order of the Administrative Director – Effective June 15, 2020
Order of the Administrative Director – Effective May 15, 2020
Order of the Administrative Director – Dated May 7, 2020 (effective dates as specified in Order)
Order of the Administrative Director – Effective April 15, 2020
Order of the Administrative Director – Effective April 15, 2020
Order of the Administrative Director – Effective April 1, 2020 (Order dated 6/16/2020 adopts replacement Medically Unlikely Edits file effective 4/1/2020)
Order of the Administrative Director – Effective April 1, 2020 [See Order dated 6/16/2020 which partially supersedes this Order]
Order of the Administrative Director – Effective March 15, 2020
Order of the Administrative Director – Effective March 13, 2020
Order of the Administrative Director - Effective February 15, 2020
Order of the Administrative Director - Effective January 1, 2020
Order of the Administrative Director - Effective January 1, 2020
Order of the Administrative Director - Effective January 15, 2020
Order of the Administrative Director - Effective January 1, 2020
Regulation effective January 1, 2020, including 2/16/2021 update (sections 9789.12.1 through 9789.19.1)
Clean copy of regulation effective January 1, 2020, including 2/16/2021 update (sections 9789.12.1 through 9789.19.1)
Regulation effective January 1, 2020 (section 9789.19.1, Table A 2020 RVU20A Updated 01-22-2020)
Medi-Cal Rates file - December 15, 2019; January 15, 2020; February 15, 2020; March 15, 2020; April 15, 2020; May 15, 2020; June 15, 2020; July 15, 2020; August 15, 2020; September 15, 2020; October 15, 2020; November 15, 2020; December 15, 2020; January 15, 2021; February 16, 2021
Medically Unlikely Edits file – January 1, 2020; April 1, 2020; July 1, 2020; October 1, 2020
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January 1, 2019 |
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Orders of the Administrative Director (January 1, 2019 – December 15, 2019)
Order of the Administrative Director – Effective December 15, 2019
Order of the Administrative Director – Effective November 15, 2019
Order of the Administrative Director – Effective October 15, 2019
Order of the Administrative Director – Effective October 1, 2019
Order of the Administrative Director – Effective September 15, 2019
Order of the Administrative Director – Effective August 15, 2019
Order of the Administrative Director – Effective July 15, 2019
Order of the Administrative Director – Effective July 1, 2019
Order of the Administrative Director – Effective July 1, 2019
Order of the Administrative Director – Effective June 15, 2019
Order of the Administrative Director – Effective May 15, 2019
Order of the Administrative Director – Effective April 15, 2019
Order of the Administrative Director – Effective April 1, 2019
Order of the Administrative Director – Effective March 15, 2019
Order of the Administrative Director – Effective February 15, 2019
Order of the Administrative Director – Effective January 15, 2019
Order of the Administrative Director – Effective January 1, 2019
Order of the Administrative Director - Effective January 1, 2019
Regulation effective January 1, 2019, including 12/15/2019 update (sections 9789.12.1 through 9789.19.1)
Clean copy of regulation effective January 1, 2019, including 12/15/2019 update (sections 9789.12.1 through 9789.19.1)
Regulation effective January 1, 2019 (section 9789.19.1, Table A)
GPCI Zip Code Files – January 1, 2019; April 1, 2019; July 1, 2019; October 1, 2019
Medi-Cal Rates file - December 15, 2018; January 15, 2019; February 15, 2019; March 15, 2019;
April 15, 2019; May 15, 2019; June 15, 2019; July 15, 2019; August 15, 2019; September 15, 2019; October 15, 2019; November 15, 2019; December 15, 2019
Medically Unlikely Edits file - January 1, 2019; April 1, 2019; July 1, 2019; October 1, 2019
National Correct Coding Initiative Policy Manual - Access on the CMS NCCI Policy Manual webpage
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January 1, 2018 |
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Orders of the Administrative Director (January 1, 2018 – December 15, 2018)
Order of the Administrative Director - Effective December 15, 2018
Order of the Administrative Director - Effective November 15, 2018
Order of the Administrative Director - Effective October 15, 2018
Order of the Administrative Director - Effective October 1, 2018
Order of the Administrative Director - Effective September 15, 2018
Order of the Administrative Director - Effective August 15, 2018
Order of the Administrative Director - Effective July 15, 2018
Order of the Administrative Director - Effective July 1, 2018
[Note: This Order adopts a revised July 1, 2018 “Medically Unlikely Edits” file, which excludes “zero value” MUEs from the file]
Order of the Administrative Director - Effective July 1, 2018
Order of the Administrative Director - Effective June 15, 2018
Order of the Administrative Director - Effective May 15, 2018
Order of the Administrative Director - Effective April 15, 2018
Order of the Administrative Director - Effective April 1, 2018
Order of the Administrative Director - Effective March 15, 2018
Order of the Administrative Director - Effective Feb. 15, 2018
Order of the Administrative Director - Effective January 15, 2018
Order of the Administrative Director - Effective January 1, 2018
Order of the Administrative Director - Effective January 1, 2018
Regulation effective January 1, 2018, including 12/15/2018 update (sections 9789.12.1 through 9789.19)
Clean copy of regulation effective January 1, 2018, including 12/15/2018 update (sections 9789.12.1 through 9789.19)
Medi-Cal Rates file - December 15, 2017; January 15, 2018; February 15, 2018; March 15, 2018; April 15, 2018; May 15, 2018; June 15, 2018; July 15, 2018; August 15, 2018; September 15, 2018; October 15, 2018; November 15, 2018; December 15, 2018
Medically Unlikely Edits file - January 1, 2018; April 1, 2018; July 1, 2018 (AD order dated July 23, 2018, replaces MUE file adopted by AD order dated June 26, 2018, with an excerpt of the same MUE file); October 1, 2018
National Correct Coding Initiative Policy Manual - Access on the CMS NCCI Policy Manual webpage
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