California Division of Workers’ Compensation (DWC) announced the 2021 reimbursement changes to the Physician Services section of the Official Medical Fee Schedule (OMFS), to conform to relevant 2021 changes in the Medicare payment system as required by Labor Code section 5307.1.

 

Fees for evaluation and management (E&M 99202-99205 and 99211-99215)  were increased significantly with most counties getting a boost on acupuncture codes 97810-97814. Physical medicine & rehabilitation (PMR 97010-97799) have some up or down slightly. Note the fees are specific to each county in California.

 

AAC Insurance Information Network – Hotline members are welcome to request the updates directly from Sam and they will also be included in our Advance Insurance Seminars.

 

A final note to stay tuned to our news section as there is a scheduled update to fees allowed for QME and Med-Legal exams that will be later in the spring.


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