CACalifornia workers’ comp fee schedule
Administered by California Division of Workers’ Compensation (DWC)
Authority. Cal. Lab. Code §5307.1; 8 CCR §§9789.10–9789.111
Reimbursement methodology
Methodology type
RVU-based
California uses the Official Medical Fee Schedule (OMFS), an RVU-based schedule administered by the Division of Workers’ Compensation. The physician services section is aligned with the Medicare Resource-Based Relative Value Scale (RBRVS) with California-specific conversion factors and ground rules. Separate schedules cover hospital outpatient, inpatient, ASC, DME, pathology, and pharmacy.
- Update frequency
- Annual
- Appeals & disputes
- Disputes over medical billing are resolved through Independent Bill Review (IBR) administered by Maximus Federal under DWC oversight (Lab. Code §4603.6).
Note. OMFS Physician Services schedule is updated at least annually; quarterly updates align with CMS MPFS changes.
Sources & citations
Every datum on this page traces to an authoritative government source. We cite the issuing agency, the underlying statute, and (when applicable) the operative regulation so you can verify the schedule for your own records.
Issuing agency
California DWC — Official Medical Fee Schedule (OMFS)
Statute
Cal. Lab. Code §5307.1
Attribution. California Division of Workers’ Compensation. BlueHive’s fee schedule reference is informational; always confirm against the agency’s current published schedule before billing.
More state fee schedules
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The regulatory information presented on BlueHive Compliance Watch is provided for general informational purposes only and should not be construed as legal advice. While we strive to maintain accurate and up-to-date information, regulations can change rapidly and may be subject to interpretation.
You should always:
- Consult with qualified legal counsel before making compliance decisions
- Verify information with official government sources
- Review the full text of any regulation cited herein
- Consider jurisdiction-specific requirements that may apply to your organization
BlueHive Health, LLC makes no warranties or representations about the accuracy, completeness, or timeliness of this information. We are not responsible for any actions taken or not taken based on this content.
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