DWC updates fee schedule for physician and non-physician practitioner services to reflect Medicare changes

NEWSLINE

The Division of Workers' Compensation (DWC) has posted an order updating the Physician Services and Non-Physician Practitioner Services section of the Official Medical Fee Schedule (OMFS) to conform to the July 2026 Medicare payment system changes, as required by Labor Code section 5307.1.

The order adopts the following third-quarter 2026 Medicare updates and applies to services rendered on or after July 1, 2026:

• Centers for Medicare & Medicaid Services' National Physician Fee Schedule Relative Value File, quarterly update (RVU26C), effective July 1, 2026; updated June 30, 2026
• Updated Practitioner Procedure-to-Procedure Edits
• Updated Medically Unlikely Edits

The Administrative Director's order is available on the Physician Services and Non-Physician Practitioner Services Fee Schedule web page.

The California Department of Industrial Relations' Division of Workers' Compensation monitors the administration of workers' compensation claims and provides administrative and judicial services to help resolve disputes related to claims for workers' compensation benefits.