California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1 - Administrative Director-Administrative Rules
Article 5.3 - Official Medical Fee Schedule
Section 9789.12.5 - Conversion Factors
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) The conversion factors to be used for determining maximum reasonable fees are set forth in section 9789.19, by date of service.
(b)
"OMFS Budget Neutral CF": the estimated aggregate maximum allowable amount under the official medical fee schedule for physician services prior to January 1, 2014, and
"120% RBRVS 2012 CF": the maximum allowable amount based on the resource-based relative value scale at 120 percent of the Medicare conversion factor in effect in July 2012.
| Type of Service | OMFS Budget- Neutral CF | 120% 2012 Medicare | 2014 (75 Percent OMFS/25 Percent 120 % Medicare) | 2015 (50 Percent OMFS/50 Percent 120 % Medicare) | 2016 (25 Percent OMFS/75 Percent 120 % Medicare) | 2017 (120% Medicare) |
| Anesthesia | 34.5903 | 25.6896 | 32.3651 | 30.1400 | 27.9148 | 25.6896 |
| Surgery | 55.6849 | 40.8451 | 51.9750 | 48.2650 | 44.5551 | 40.8451 |
| Radiology | 52.9434 | 40.8451 | 49.9188 | 46.8943 | 43.8697 | 40.8451 |
| All other services | 34.4566 | 40.8451 | 36.0537 | 37.6509 | 39.2480 | 40.8451 |
(c) For calendar year 2018, and annually thereafter, the Anesthesia conversion factor and the Other Services conversion factor in effect in the prior calendar year shall be updated by the Medicare Economic Index inflation rate and by the Relative Value Scale Adjustment Factor, if any.
1. New
section filed 9-24-2013; operative 1-1-2014. Submitted to OAL as a file and
print only pursuant to Government Code section 11340.9(g) (Register 2013, No.
39).
2. Editorial correction of subsection (b)(2) (Register 2015,
No. 12).
Note: Authority: Sections 133, 4603.5, 5307.1 and 5307.3, Labor Code. Reference: Sections 4600, 5307.1 and 5307.11, Labor Code.
