Fee Alert: Quarter Four DWC Fee Schedule Updates

Fee Alert: Quarter Four DWC Fee Schedule Updates


The Division of Workers’ Compensation (DWC) posted the following adjustments to the Official Medical Fee Schedule (OMFS) for services rendered on or after October 1, 2016, in each case to conform to Medicare’s fourth quarter changes.

Physician Services /Non-Physician Practitioner Services

  • CMS Medicare National Physician Fee Schedule Relative Value File RVU16D
  • G0436 and G0437 become BR
  • National Correct Coding Initiative Physician/Practitioner Services CCI Edits
  • 43,279 changes
  • National Correct Coding Initiative Medically Unlikely Edits
  • 73 edits added
  • 3 edits removed
  • 96 edits updated

DaisyBill’s OMFS Calculator already incorporates these changes; for non-DaisyBillers, click the header link above for specifics and applicable fee schedule documents and files.

Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 

  • Rural ZIP code file updated and replaced
  • No changes to reimbursements

Try DaisyBill’s OMFS Calculator, included with our Work Comp Wizard


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