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Official Medical Fee Schedule (OMFS)

Effective: 03/2021

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 03/01/2022
Los Angeles – Orange County
CPTDescriptionWork RVUPE RVUME RVU1st code2nd codes
99202E/M initial0.931.120.09 $109.56 
99203E/M initial1.601.520.17 $166.82 
99204E/M initial2.602.060.24 $247.44 
99212E/M estab0.700.890.07 $85.11 
99213E/M estab1.301.260.10 $135.57 
99214E/M estab1.921.710.12 $191.01 
Modalities
97012
Traction0.250.160.01 $21.25 $17.16
97026Infrared0.060.120.01 $9.82 $6.55
97032TENS man 15 min0.250.170.01 $21.80 $17.16
Procedures
97110
Therapeutic exercise 15 min0.450.400.02 $44.44 $33.52
97112Neuromusc re-educ0.500.490.02 $51.79 $38.41
97124Massage 15 min0.350.520.01 $45.77 $31.58
97140Man Therapy 15 min0.430.350.02 $40.74 $31.19
97530HEP 15 min0.440.640.02 $57.05 $39.59
97535Self-care, ADL 15 min0.450.500.02 $49.90 $36.25
97810Acup initial 15 min0.600.520.04 $59.00 $44.80
97811Acup add 15 min0.500.330.04 $43.76 $34.75
97813Electro-acup initial 15 min0.650.670.04 $69.62 $51.33
97814Electro-acup add 15 min0.550.530.04 $57.11 $42.64