OMFS Pathology and Clinical Laboratory Fee Adjustments

The DWC issued an administrative order (Release No. 2026-29) adjusting the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule to conform with Medicare's calendar year 2026 quarter 2 payment update, pursuant to Labor Code section 5307.1. This is a routine annual adjustment ensuring California workers' compensation reimbursement rates remain aligned with federal Medicare fee schedule changes.

Healthcare providers and facilities billing workers' compensation for pathology and clinical laboratory services must use the updated fee schedule for services rendered on or after April 1, 2026. Providers should consult the Pathology and Clinical Laboratory webpage on the DWC site to access the adjusted fee schedule and ensure compliance with current reimbursement rates.