California’s Division of Workers’ Compensation (CA DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee Schedule (OMFS), effective for services rendered on or after January 1, 2025.

The update order alters the DMEPOS fee schedule as follows:

• Adds 13 new DMEPOS codes
• Changes Reimbursement for 3,457 DMEPOS codes

The CA DWC update order was announced in a December 19, 2024 Newsline. This update aligns the California OMFS with the most recent changes to the Centers for Medicare and Medicaid Services (CMS) reimbursement rates.

As always, the daisyWizard’s OMFS Calculator and daisyBill’s Revenue Cycle Management (RCM) software reflect the latest changes.

Details of fee schedule changes are below.

New DMEPOS HCPCS Codes

Below is a complete list of the 13 new Healthcare Common Procedure Coding System (HCPCS) codes added to the DMEPOS fee schedule per the CA DWC order.

daisyBill software and the daisyWizard’s OMFS Calculator reflect these latest 2025 DMEPOS changes, as well as all the most current reimbursement rates for the entirety of the OMFS, Medical-Legal Fee Schedule (MLFS), and Copy Services fee schedule.

Have questions? daisyBill experts are available for clients and non-clients through the chat function in the bottom right corner of this page during business hours. Alternatively, drop us a line at info@daisybill.com.

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