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The Division of Workers’ Compensation (DWC) has posted an order adjusting the Hospital Outpatient Departments and Ambulatory Surgical Centers section of the Official Medical Fee Schedule (OMFS) to conform to changes in the Medicare payment system as required by Labor Code section 5307.1.
The Hospital Outpatient Departments and Ambulatory Surgical Centers fee schedule update order adopts the following Centers for Medicare & Medicaid Services (CMS) Medicare changes:

April 2022 Quarterly Update

• The CMS Medicare Hospital Outpatient Prospective Payment System (OPPS) April 2022 Addendum A quarterly update

• The CMS Medicare OPPS April 2022 Addendum B-Correction quarterly update

• The CMS Ambulatory Surgical Center Payment System, April 2022 ASC Approved HCPCS Code and Payment Rates-Updated 03/28/22 – Column A entitled “HCPCS Code” of “Apr 2022 ASC AA” and Column A entitled “HCPCS Code” of “Apr 2022 ASC EE”

• Certain sections of the CMS Medicare OPPS April 2022 Integrated Outpatient Code Editor (I/OCE), IOCE Quarterly Data Files V231.R0

The order adopting the OMFS adjustments is effective for services rendered on or after April 1, 2022 and is posted on the DWC website.

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