Bulletin 95-21
November 28, 1995

The 1996 OMFS Now Available,
Order It Directly from DWC

The 1996 edition of DWC's Official Medical Fee Schedule (OMFS), used for billing medical treatment under workers' compensation, is now available. The revised schedule, which contains a number of changes from the 1994 edition, must be used for all medical treatment provided injured workers on or after January 1, 1996.

Those who purchased the 1994 edition will be automatically receiving the 1996 version, and will be asked to only pay a shipping and handling charge. Others may purchase it directly from the Division of Workers' Compensation by sending an order form, $40.00 for each copy, sales tax, and the shipping and handling charge, to:

Official Medical Fee Schedule
California Division of Workers' Compensation
P.O. Box 420603
San Francisco, CA 94142

The OMFS was thoroughly revised in 1994. Since then it has been based on the "Comprehensive Procedural Terminology (CPT)," a standardized coding system developed by the American Medical Association and used by most non-workers' compensation health care providers. The changes in the 1996 version primarily address issues which arose after the implementation of the major changes contained in the 1994 version of the fee schedule.

Major changes for 1996 include:

The 1996 version also includes a number of useful appendices, including an updated compilation of related statutes and regulations, a summary of the additions, deletions, and revisions of CPT Codes, and copies of relevant forms.