Official Medical Fee Schedule (OMFS)

Effective: 02/15/2024

The Official Medical Fee Schedule (OMFS) is promulgated by the DWC administrative director under Labor Code section 5307.1 and can be found in sections 9789.10 et seq. of Title 8, California Code of Regulations. It is used for payment of medical services required to treat work-related injuries and illnesses.

Labor Code section 5307.1 requires the DWC administrative director to adopt an official medical fee schedule for physician services. In California, for purposes of workers’ compensation “physician” is defined by Labor Code section 3209.3 subdivision (a) as follows:

“Physician” includes physicians and surgeons holding an M.D. or D.O. degree, psychologists, acupuncturists, optometrists, dentists, podiatrists, and chiropractic practitioners licensed by California state law and within the scope of their practice as defined by California state law.

Thank you Dr. Kevin Uchida for your input

OMFS Fee Schedule effective for DOS on or after 02/15/2024
Los Angeles – Orange County

CPT	Description	Work RVU	PE RVU	ME RVU	1st code	2nd codes
99202	E/M initial	0.93	1.16	0.08	$114.97
99203	E/M initial	1.60	1.59	0.16	$175.42
99204	E/M initial	2.60	2.18	0.24	$261.40
99212	E/M estab	0.70	0.94	0.06	$90.34
99213	E/M estab	1.30	1.33	0.10	$143.71
99214	E/M estab	1.92	1.79	0.14	$202.07
Modalities 97012	traction	0.25	0.16	0.01	$21.88	$17.32
97026	infrared	0.06	0.13	0.01	$10.72	$7.02
Procedures 97110	Therap exercise 15 min	0.45	0.42	0.01	$46.64	$34.67
97112	Neuromusc re-educ	0.50	0.50	0.01	$53.68	$39.44
97124	Massage 15 min	0.35	0.55	0.01	$49.07	$33.40
97140	Man Therapy 15 min	0.43	0.37	0.01	$42.79	$32.25
97530	HEP 15 min	0.44	0.65	0.01	$59.24	$40.73
97535	Self-care, ADL 15 min	0.45	0.52	0.01	$52.33	$37.52
97810	Acup initial 15 min	0.60	0.51	0.04	$60.21	$45.68
97811	Acup add 15 min	0.50	0.32	0.03	$44.08	$34.97
97813	Electro-acup initial 15 min	0.65	0.67	0.04	$71.81	$52.73
97814	Electro-acup add 15 min	0.55	0.51	0.04	$57.72	$43.19
98940	Chiro Manj 1-2 reg	0.46	0.35	0.01	$43.14	$33.17
98941	Chiro Manj 3-4 reg	0.71	0.46	0.01	$61.84	$48.74
98942	Chiro Manj 5 reg	0.96	0.55	0.01	$79.40	$63.73