The California Division of Workers’ Compensation (CA DWC) has updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule.
All changes are effective for dates of service on or after January 1, 2026.
The update aligns the DMEPOS fee schedule with the most recent changes to Centers for Medicare and Medicaid Services (CMS) fees. The CA DWC’s update order:
daisyBillers, rest easy. The daisyWizard Fee Schedule Calculator and daisyBill billing software reflect all 2026 changes. See more details below.
The DMEPOS update order, which the CA DWC announced in a December 23, 2025 Newsline, updates the DMEPOS fee schedule for all dates of service on or after January 1, 2026 as follows:
2026 DMEPOS Fee Change |
Billing Code Count |
% of Billing Codes |
Fee Increase |
3,127 |
89% |
No Fee Change |
385 |
11% |
New Billing Codes |
3 |
0.1% |
Total |
3,515 |
100% |
Below are the three new HCPCS codes the CA DWC added to the DMEPOS fee schedule, along with 2026 reimbursement amounts.
New 2026 DMEPOS HCPCS |
HCPCS Description |
2026 DOS Fee |
A4295 |
Straigh tip hydrophilic cath |
$2.62 |
A4296 |
Coude tip hydrophilic cath |
$10.98 |
A4297 |
Hydrophilic coat insert sup |
$11.98 |
Again, all daisyBill software, including daisyWizard’s Fee Schedule Calculator, reflect the 2026 DMEPOS changes.
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