DWC Posts Additional Adjustments to Official Medical Fee Schedule (Hospital Outpatient Departments/Ambulatory Surgical Centers)

The Administrative Director of the Division of Workers’ Compensation (DWC) issued an Order dated July 1, 2025 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. Subsequently, on July 25, 2025, the Centers for Medicare and Medicaid Services (CMS) issued revised fee schedule documents for the October update.

DWC has posted an order adjusting the Hospital Outpatient Departments and Ambulatory Surgical Centers fee schedule to adopt the following Medicare updates:

Additional July 2025 Quarterly Update

• The CMS Medicare Hospital Outpatient Prospective Payment System (OPPS) July 2025 Addendum A - (updated 07/25/2025)
• The CMS Medicare OPPS July 2025 Addendum B – (updated 07/25/2025)

The updated order dated August 29, 2025 adopting the OMFS adjustments is effective for services rendered on or after July 1, 2025 and is posted on the DWC website’s OMFS page.

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