Official Medical Fee Schedule (OMFS)

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.

Section 9789.111 provides the effective dates of fee schedule provisions. In addition, adjustments to the fee schedule, in the form of Administrative Director Orders, are posted on the fee schedule web pages to conform to relevant Medicare and Medi-Cal changes pursuant to Labor Code section 5307.1 subdivision (g) and Title 8, California Code of Regulations, section 9789.110.

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.

Topics covered in the OMFS include:
Ambulance fees
Durable medical equipment, prosthetics, orthotics and supplies
Inpatient hospital services
Hospital outpatient departments and ambulatory surgical centers
Pathology and clinical laboratory
Pharmaceuticals
Physician services and non-physician practitioner services

Ambulance fees

Effective date	Ambulance fee schedule documents
January 1, 2024	Order of the Administrative Director – Effective July 1, 2024 Order of the Administrative Director – Effective April 1, 2024 Order of the Administrative Director - Effective January 1, 2024 Regulation sections 9789.70 & 9789.110 & 9789.111
January 1, 2023	Order of the Administrative Director - Effective January 1, 2023 [SUPERSEDED by Order dated 1/24/2023] Order of the Administrative Director - Effective January 1, 2023 Regulation sections 9789.70 & 9789.110 & 9789.111
January 1, 2022	Order of the Administrative Director - Effective January 1, 2022 Regulation sections 9789.70 & 9789.110 & 9789.111
January 1, 2021	Order of the Administrative Director - Effective January 1, 2021 Attachment to Order: Excerpt of CMS Ambulance Fee Schedule Public Use Files web page (including file layout and formula) Regulation sections 9789.70 & 9789.110 & 9789.111 Centers for Medicare and Medicaid Services CY 2021 Ambulance Fee Schedule File, which contains the following electronic files – Effective January 1, 2021: CY 2021 File (ZIP) AFS2021-PUF [zip] AFS2021__PUF.xls Geographic_Area_2021.xlsx 508-Compliant-Version-of-AFS2021__PUF.txt 508-Compliant-Version-of-Geographic_Area_2021.txt Centers for Medicare and Medicaid Services Zip Code to Carrier Locality File - (ZIP) Revised 11/13/2020, which contains the following electronic files: ZPLC_JAN2021[zip] ZIP5_JAN2021.txt ZIP5_JAN2021.xlsx ZIP5lyout.txt ZIP9_JAN2021.txt ZIP9lyout.txt Centers for Medicare and Medicaid Services Zip Codes requiring +4 extension (ZIP) - Revised 11/13/2020, which contains the following electronic file: ZIP5_requring +4ext_dec2020_jan2021.txt
January 1, 2020	Order of the Administrative Director - Effective January 1, 2020 Regulation sections 9789.70 & 9789.110 & 9789.111 Centers for Medicare and Medicaid Services CY 2020 Ambulance Fee Schedule File, updated 12/2/2019, which contains the following electronic files – Effective January 1, 2020: Geographic_Area.zip AFS2020_puf.xlsx Geographic_Area.xlsx Section 508 version of AFS2020__PUF.txt Section 508 version of Geographic_Area.txt CMS-Ambulance Fee Schedule Public Use Files Webpage 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 ZIP5_JAN2020.txt ZIP5_JAN2020.xlsx ZIP5lyout.txt ZIP9_JAN2020.txt ZIP9lyout.txt Centers for Medicare and Medicaid Services Zip Code requiring +4 extension, as revised 11/19/2019 which contains the following electronic file: ZIP5_requiring_plus4ext_dec19_jan20.txt Centers for Medicare and Medicaid Services Changes to Zip Code File - as revised 11/19/2019 which contains the following electronic file: ZIP5_CHANGES_DEC19_JAN20.txt For reference: CMS Manual System Transmittal No. 4407
January 1, 2019	Order of the Administrative Director - Effective January 1, 2019 Regulation sections 9789.70 & 9789.110 & 9789.111 Centers for Medicare and Medicaid Services CY 2019 Ambulance Fee Schedule File, updated 11/28/2018, which contains the following electronic files – Effective January 1, 2019: afs_2019_puf excel afs_2019_puf – txt CMS-Ambulance Fee Schedule Public Use Files Webpage Centers for Medicare and Medicaid Services Zip Code to Carrier Locality File, as revised 11/14/2018 which contains the following electronic files: ZIP5_JAN2019 txt IP5_JAN2019 excel ZIP5lyout - txt ZIP9_JAN2019 - txt ZIP9lyout - txt Centers for Medicare and Medicaid Services Zip Code requiring +4 extension, as revised 11/14/2018 which contains the following electronic file: ZIP5_requring +4ext_dec18_jan19 – txt Centers for Medicare and Medicaid Services Changes to Zip Code File - as revised 11/14/2018 which contains the following electronic file: ZIP5_CHANGES_DEC18_JAN19 – txt For reference: CMS Manual System Transmittal No. 4172
January 1, 2018	Order of the Administrative Director - Effective January 1, 2018 Order of the Administrative Director - Effective January 1, 2018 Regulation sections 9789.70 & 9789.110 & 9789.111 Centers for Medicare and Medicaid Services CY 2018 Ambulance Fee Schedule File, as updated 02/14/2018 which contains the following electronic files – Effective January 1, 2018: afs2018__puf_v2_003 afs2018__puf_v2_003 - accessible version afs2018__puf_v2_003 CMS-Ambulance Fee Schedule Public Use Files Webpage, last modified: 02/21/2018 11:53 AM 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: afs2018__puf afs2018__puf – txt CMS-Ambulance Fee Schedule Public Use Files Webpage ] Centers for Medicare and Medicaid Services Zip Code to Carrier Locality File, as revised 11/15/2017 which contains the following electronic files: ZIP5_JAN18 – txt ZIP5_JAN18 ZIP5lyout – txt ZIP9_JAN18 – txt ZIP9lyout – txt Centers for Medicare and Medicaid Services Zip Code requiring +4 extension, as revised 11/15/2017 which contains the following electronic file: ZIP5_requring +4ext_dec17_jan18 – txt Centers for Medicare and Medicaid Services Changes to Zip Code File - as revised 11/15/2017 which contains the following electronic file: ZIP5_CHANGES_DEC17_JAN18– txt For reference: CMS Manual System Transmittal No. 3893

Durable medical equipment, prosthetics, orthotics and supplies

NOTE: Workers' compensation durable medical equipment, prosthetics, orthotics, and supplies fee schedule - Physician dispensed devices

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	Durable medical equipment, prosthetics, orthotics and supplies documents
January 1, 2024	Order of the Administrative Director – Effective October 1, 2024 Order of the Administrative Director – Effective July 1, 2024 Order of the Administrative Director – Effective April 1, 2024 Order of the Administrative Director – Effective January 1, 2024 Regulation Effective March 5, 2015
January 1, 2023	Order of the Administrative Director – Effective October 1, 2023 Order of the Administrative Director – Effective July 1, 2023 Order of the Administrative Director – Effective April 1, 2023 Order of the Administrative Director – Effective January 1, 2023 [SUPERSEDED by Order dated 12/28/2022] Order of the Administrative Director – Effective January 1, 2023 Regulation Effective March 5, 2015
January 1, 2022	Order of the Administrative Director – Effective October 1, 2022 Order of the Administrative Director – Effective July 1, 2022 Order of the Administrative Director – Effective April 1, 2022 Order of the Administrative Director – Effective January 1, 2022 Regulation Effective March 5, 2015
October 1, 2021	Order of the Administrative Director – Effective October 1, 2021 Regulation Effective March 5, 2015
April 1, 2021	Order of the Administrative Director – Effective April 1, 2021 Order of the Administrative Director – Effective April 1, 2021 [SUPERSEDED BY Order dated 4/9/2021 - Effective April 1, 2021] Order of the Administrative Director – Effective April 1, 2021 [SUPERSEDED BY Order dated 4/2/2021 - Effective April 1, 2021] Regulation Effective March 5, 2015
March 15, 2021	Order of the Administrative Director – Effective March 15, 2021 Regulation Effective March 5, 2015
January 1, 2021	Order of the Administrative Director – Effective January 1, 2021 Regulation Effective March 5, 2015
October 1, 2020	Order of the Administrative Director – Effective October 1, 2020 Regulation Effective March 5, 2015
July 1, 2020	Order of the Administrative Director – Effective July 1, 2020 Regulation Effective March 5, 2015
March 6, 2020	Order of the Administrative Director – Effective March 6, 2020 Regulation Effective March 5, 2015
March 6, 2020	Order of the Administrative Director – Effective April 1, 2020 [SUPERSEDED BY: March 6, 2020 Order] Regulation Effective March 5, 2015
January 1, 2020	Order of the Administrative Director – Effective January 1, 2020 Regulation Effective March 5, 2015
October 1, 2019	Order of the Administrative Director – Effective October 1, 2019 Regulation Effective March 5, 2015
July 1, 2019	Order of the Administrative Director – Effective July 1, 2019 Regulation Effective March 5, 2015
April 1, 2019	Order of the Administrative Director – Effective April 1, 2019 Regulation Effective March 5, 2015
January 1, 2019	Order of the Administrative Director – Effective January 1, 2019 Regulation Effective March 5, 2015
July 1, 2018	Order of the Administrative Director – Effective July 1, 2018 Regulation Effective March 5, 2015
April 1, 2018	Order of the Administrative Director – Effective April 1, 2018 Regulation Effective March 5, 2015
January 1, 2018	Order of the Administrative Director – Effective January 1, 2018 Regulation Effective March 5, 2015

Inpatient hospital services

Effective date	Inpatient Hospital documents
December 1, 2024	Order of the Administrative Director (December 1, 2024) Order of the Administrative Director (Effective December 1, 2024) Explanation of changes to Title 8, California Code of Regulations, sections 9789.20–9789.25 Regulation effective December 1, 2024 (sections 9789.20-9789.25) Clean copy of regulation effective December 1, 2024 (sections 9789.20-9789.25 ) Regulation effective December 1, 2024 (section 9789.23) Regulation effective December 1, 2024 (section 9789.24)
November 1, 2023	Order of the Administrative Director (November 1, 2023) Order of the Administrative Director (Effective November 1, 2023) Explanation of changes to Title 8, California Code of Regulations, sections 9789.20–9789.25 Regulation effective November 1, 2023 (sections 9789.20-9789.25) Clean copy of regulation effective November 1, 2023 (sections 9789.20-9789.25 ) Regulation effective November 1, 2023 (section 9789.23) Regulation effective November 1, 2023 (section 9789.24)
December 1, 2022	Orders of the Administrative Director (December 1, 2022) Order of the Administrative Director- Dated December 19, 2022 (Effective December 1, 2022) Order of the Administrative Director (Effective December 1, 2022) Explanation of changes to Title 8, California Code of Regulations, sections 9789.20–9789.25 Regulation effective December 1, 2022 , including 10/31/2022 and 12/19/2022 update orders (sections 9789.20–9789.25) Clean copy of regulation effective December 1, 2022 , including 10/31/2022 and 12/19/2022 update orders (sections 9789.20–9789.25) Regulation effective December 1, 2022 (section 9789.23) Regulation effective December 1, 2022 (section 9789.24) IMPORTANT NOTE: As a result of corrections made by CMS to their impact tables, Section 9789.23, adopted for services rendered on or after December 1, 2022, is superseded with a revised Section 9789.23 (above). [SUPERSEDED – DO NOT USE: Regulation effective December 1, 2022 Regulation effective December 1, 2022 (section 9789.23)
December 1, 2021	Order of the Administrative Director (December 1, 2021) Order of the Administrative Director (Effective December 1, 2021) Explanation of changes to Title 8, California Code of Regulations, sections 9789.20–9789.25 Regulation effective December 1, 2021 (sections 9789.20–9789.25) Clean copy of regulation effective December 1, 2021 (sections 9789.20–9789.25) Regulation effective December 1, 2021 (section 9789.23) Regulation effective December 1, 2021 (section 9789.24)
March 15, 2021	Order of the Administrative Director (March 15, 2021) Order of the administrative director of the Division of Workers' Compensation Explanation of changes to Title 8, California Code of Regulations, sections 9789.20–9789.25 Regulation effective March 15, 2021 (sections 9789.20–9789.25) Clean copy of regulation effective March 15, 2021 (sections 9789.20–9789.25) Regulation effective March 15, 2021 (section 9789.23) Regulation effective March 15, 2021 (section 9789.24)
December 1, 2020	Order of the Administrative Director (December 1, 2020) Order of the administrative director of the Division of Workers' Compensation – Effective December 1, 2020 Explanation of changes to Title 8, California Code of Regulations, sections 9789.20–9789.25 Regulation effective December 1, 2020 (sections 9789.20–9789.25) Clean copy of regulation effective December 1, 2020 (sections 9789.20–9789.25) Regulation effective December 1, 2020 (section 9789.23) Regulation effective December 1, 2020 (section 9789.24)
November 1, 2019	Orders of the Administrative Director (November 1, 2019 - April 20, 2020 Order of the administrative director of the Division of Workers' Compensation – Effective April 20, 2020 Order of the administrative director of the Division of Workers’ Compensation – Effective November 1, 2019) Order of the administrative director of the Division of Workers' Compensation – Effective November 1, 2019 Explanation of changes to Title 8, California Code of Regulations, sections 9789.20–9789.25 Regulation effective November 1, 2019, including 09/03/2019, 10/25/2019 and 4/20/2020 updates (sections 9789.20–9789.25) Clean copy of regulation effective November 1, 2019, including 09/03/2019, 10/25/2019, and 4/20/2020 updates (sections 9789.20–9789.25) Regulation effective November 1, 2019, including 09/03/2019 and 10/25/2019 updates (section 9789.23) Regulation effective November 1, 2019, including 09/03/2019 and 10/25/2019 updates (section 9789.24)
December 1, 2018	Order of the administrative director of the Division of Workers' Compensation Explanation of changes to Title 8, California Code of Regulations, sections 9789.20–9789.25 Regulation effective December 1, 2018 (sections 9789.20–9789.25) Clean copy of regulation effective December 1, 2018 (sections 9789.20–9789.25) Regulation effective December 1, 2018 (section 9789.23) Regulation effective December 1, 2018 (section 9789.24)

Hospital Outpatient Departments and Ambulatory Surgical Centers

Effective date	Hospital Outpatient Departments and Ambulatory Surgical Centers documents
February 15, 2024	Orders of the Administrative Director (February 15, 2024 – October 1, 2024) Order of the Administrative Director – Dated October 8, 2024 (Effective 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 Explanation of changes to Title 8, California Code of Regulations sections 9789.30-9789.39 Regulation effective February 15, 2024, including AD Updated Order of October 8, 2024 effective October 1, 2024 (section 9789.30-9789.39) Clean copy of regulation effective February 15, 2024, including AD Updated Order of October 8, 2024 effective 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
March 1, 2023	Orders of the Administrative Director (March 1, 2023 - October 1, 2023) Order of the Administrative Director – Effective October 1, 2023 Order of the Administrative Director – Dated August 8, 2023 (Effective July 1, 2023 ) Order of the Administrative Director -Effective July 1, 2023 Order of the Administrative Director – Dated May 17, 2023 (Effective May 1, 2023) Order of the Administrative Director - Effective May 1, 2023 Order of the Administrative Director - Effective March 1, 2023 Explanation of changes to Title 8, California Code of Regulations, sections 9789.30–9789.39 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)
March 1, 2022	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 Explanation of changes to Title 8, California Code of Regulations, sections 9789.30–9789.39 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)
March 1, 2021	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 Explanation of changes to Title 8, California Code of Regulations, sections 9789.30–9789.39 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)
March 1, 2020	Orders of the Administrative Director (March 1, 2020 - October 1, 2020) Order of the Administrative Director – Dated November 5, 2020 (effective October 1, 2020) Order of the Administrative Director – Effective October 1, 2020 Order of the Administrative Director – Dated July 1, 2020 (effective dates specified in Order) Order of the Administrative Director – Dated May 15, 2020 (effective dates specified in Order) Order of the Administrative Director - Effective April 1, 2020 Order of the Administrative Director - Effective March 1, 2020 (Order Dated 07/01/2020 adopts replacement April 2020 ASC Approved HCPCS Code and Payment Rates file) Order of the Administrative Director - Effective March 1, 2020 Explanation of changes to Title 8, California Code of Regulations, sections 9789.30–9789.39 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)
February 15, 2019	Orders of the Administrative Director (February 15, 2019 – October 1, 2019) Order of the Administrative Director - Effective October 1, 2019 Order of the Administrative Director - Effective October 1, 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 April 1, 2019 Order of the Administrative Director - Effective April 1, 2019 Order of the Administrative Director - Effective February 15, 2019 Order of the Administrative Director - Effective February 15, 2019 Explanation of changes to Title 8, California Code of Regulations, sections 9789.30–9789.39 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)
March 15, 2018	Orders of the Administrative Director (March 15, 2018 - October 1, 2018) Order of the Administrative Director - Effective October 1, 2018 Order of the Administrative Director - Effective July 1, 2018 Order of the Administrative Director - Effective July 1, 2018 Order of the Administrative Director - Effective April 1, 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 March 15, 2018 Explanation of changes to Title 8, California Code of Regulations, sections 9789.30–9789.39 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) Regulation effective March 15, 2018 (section 9789.35 Table B) Integrated OCE CMS Specifications – January 1, 2018 (V19.0); April 1, 2018 (V19.1); July 1, 2018 (V19.2.R1); October 1, 2018 (V19.3) – Files are available upon request by email to DWCFeeSchedule@dir.ca.gov 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. [SUPERSEDED – DO NOT USE: Regulation effective March 15, 2018 (section 9789.34 Table A)]

Pathology and clinical laboratory

Effective date	Pathology and clinical laboratory documents
January 1, 2024	Orders of the Administrative Director Order of the Administrative Director Effective 10/1/2024 Order of the Administrative Director Effective 7/1/2024 Order of the Administrative Director Effective 4/1/2024 Order of the Administrative Director Dated 2/20/2024, Effective 1/1/2024 Order of the Administrative Director effective 1/1/2024 Regulation Effective March 5, 2015
January 1, 2023	Orders of the Administrative Director Order of the Administrative Director effective 10/1/2023 Order of the Administrative Director effective 7/1/2023 Order of the Administrative Director effective 4/1/2023 Order of the Administrative Director dated 2/2/2023, Effective 1/1/2023 Order of the Administrative Director dated 1/5/2023, Effective 1/1/2023 Regulation Effective March 5, 2015
October 1, 2022	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
July 1, 2022	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
April 1, 2022	Orders of the Administrative Director Order of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
January 1, 2022	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
October 1, 2021	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
July 1, 2021	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
April 1, 2021	Orders of the Administrative Director Order of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
January 1, 2021	Orders of the Administrative Director Order of the Administrative Director – Effective January 1, 2021 Order of the Administrative Director – Effective January 1, 2021 Order of the Administrative Director – Effective January 1, 2021 Regulation Effective March 5, 2015
October 1, 2020	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
July 1, 2020	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
April 1, 2020 (and retroactive as specified in Orders)	Orders of the Administrative Director (March 1, 2020 - October 1, 2020) Order of the Administrative Director Order of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
February 1, 2020	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
October 1, 2019	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
July 1, 2019	Orders of the Administrative Director Order of the Administrative Director Regulation Effective March 5, 2015
January 1, 2019	Orders of the Administrative Director Order of the Administrative Director – Effective January 1, 2019 Order of the Administrative Director – Effective January 1, 2019 Regulation Effective March 5, 2015
January 1, 2018	Orders of the Administrative Director (January 1, 2018 – July 1, 2018) Order of the Administrative Director - Effective July 1, 2018 Order of the Administrative Director - Effective April 1, 2018 Order of the Administrative Director - Effective January 1, 2018 Regulation Effective March 5, 2015

Pharmaceuticals

Effective date	Pharmaceuticals documents
March 1, 2017	Regulation effective March 1, 2007 Fees for pharmaceuticals

Physician services and non-physician practitioner services

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.

Rules related to paper medical treatment billing and electronic medical treatment billing are posted on the DWC website.

Effective date	Physician services documents
February 15, 2024	Orders of the Administrative Director (February 15, 2024 – November 15, 2024) Order of the Administrative Director – Effective November 15, 2024 Order of the Administrative Director – Effective October 15, 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 Explanation of changes 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 Explanation of changes Regulation effective February 15, 2024 including update effective 11/15/2024 (sections 9789.12.1 through 9789.19.1) Clean copy of regulation effective February 15, 2024 including update effective 11/15/2024 (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; October 15, 2024; November 15, 2024 Medically Unlikely Edits file - February 15, 2024; April 1, 2024; July 1, 2024; October 1, 2024
February 15, 2023	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 Explanation of changes 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	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 Explanation of changes 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
March 1, 2021	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 Explanation of changes 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 Medically Unlikely Edits file – January 1, 2021 (Effective March 1, 2021); April 1, 2021; July 1, 2021; October 1, 2021
January 1, 2020	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 Explanation of changes Order of the Administrative Director - Effective January 15, 2020 Order of the Administrative Director - Effective January 1, 2020 Explanation of changes 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
January 1, 2019	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 Explanation of changes 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
January 1, 2018	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 Explanation of changes 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

September 2024

Office Name	Topic	Phone Numbers
Cal/OSHA	Workplace Safety and Health	833-579-0927
Labor Commissioner's Office	Wages, breaks, retaliation and labor laws	833-526-4636
Division of Workers' Compensation	Benefits for work-related injuries and illnesses	1-800-736-7401
Office of the Director	Any other topic related to the Department of Industrial Relations	844-522-6734

Official Medical Fee Schedule (OMFS)

Ambulance fees

Durable medical equipment, prosthetics, orthotics and supplies

Inpatient hospital services

Order of the Administrative Director (December 1, 2024)

Order of the Administrative Director (November 1, 2023)

Orders of the Administrative Director (December 1, 2022)

Order of the Administrative Director (December 1, 2021)

Order of the Administrative Director (March 15, 2021)

Order of the Administrative Director (December 1, 2020)

Orders of the Administrative Director (November 1, 2019 - April 20, 2020

Hospital Outpatient Departments and Ambulatory Surgical Centers

Orders of the Administrative Director (February 15, 2024 – October 1, 2024)

Orders of the Administrative Director (March 1, 2023 - October 1, 2023)

Orders of the Administrative Director (March 1, 2022 - October 1, 2022)

Orders of the Administrative Director (March 1, 2021 - October 1, 2021)

Orders of the Administrative Director (March 1, 2020 - October 1, 2020)

Orders of the Administrative Director (February 15, 2019 – October 1, 2019)

Orders of the Administrative Director (March 15, 2018 - October 1, 2018)

Pathology and clinical laboratory

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director (March 1, 2020 - October 1, 2020)

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director

Orders of the Administrative Director (January 1, 2018 – July 1, 2018)

Pharmaceuticals

Physician services and non-physician practitioner services

Orders of the Administrative Director (February 15, 2024 – November 15, 2024)

Orders of the Administrative Director (February 15, 2023 – January 16, 2024)

Orders of the Administrative Director (January 1, 2022 – January 15, 2023)

Orders of the Administrative Director (March 1, 2021 – October 15, 2021)

Orders of the Administrative Director (January 1, 2020 - February 16, 2021)

Orders of the Administrative Director (January 1, 2019 – December 15, 2019)

Orders of the Administrative Director (January 1, 2018 – December 15, 2018)