OMFS Update Alert
The California Division of Workers’ Compensation (DWC) ordered new adjustments to the Official Medical Fee Schedule (OMFS), effective for services rendered on or after October 1, 2017. The order updates fees for Physician and Non-Physician Practitioner services— including a status code change that, in effect, eliminates reimbursement for CPT 93668.
Pursuant to California Labor Code § 5307.1, DWC Acting Administrative Director George P. Parisotto’s September 12th update order brings the Physician and Non-Physician Practitioner Fee Schedule into conformity with the following changes to Medicare:
Schedule |
Changes Made To |
October 1, 2017 Medicare Physician Fee Schedule |
RVU17D (RVUPUF17, PPRRVU17_OCT, OPPSCAP_OCT, excluding 17LOCCO, ANES_OCT, CY2017_GPCIs) |
October 1, 2017 Medicare quarterly update to the Practitioner PTP National Correct Coding Initiative Edits |
|
October 1, 2017 quarterly update to the Practitioner Services Medically Unlikely Edits |
Reimbursement for CPT 93668 for Peripheral Arterial Disease Rehabilitation changed as follows:
CPT 93668 |
Status Code |
Reimbursement |
Dates of Service 3/1/2017 to 9/30/2017 |
N |
$27.82 |
Dates of Service from 10/1/2017 |
C |
$0.00 |
The order itself is available on the DWC website. The DWC publicized the order in Newsline No.: 2017-83. We’ll keep you updated on any further changes to the OMFS.
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93668: status N -> C. on 9/30, the reimbursement is 27.82, 10/1 it is $0
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