DEEOIC Discontinuing Coverage for HCPCS Code A9901

Effective October 1, 2025, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will discontinue coverage for HCPCS Code A9901. The Office of Workers’ Compensation Programs’ (OWCP) Fee Schedule rates for Durable Medical Equipment (DME) are all inclusive and include the cost of taxes, shipping, delivery, installation, and setup. As such, A9901 will no longer be covered as a separately billable code. Authorization requests received prior to October 1, 2025, will be reviewed and processed as appropriate.

The Department of Labor regularly revises the OWCP Fee Schedule to reflect economic adjustments, including increases and decreases, as deemed necessary for fees associated with certain HCPCS/Current Procedural Terminology (CPT) codes. These adjustments are made in response to shifts in medical inflation rates, industry trends, and other pertinent factors.

For additional questions or concerns related to the OWCP fee schedule, email OWCP-Public@dol.gov.

OWCP Bill Submission Requirement for NPI and Taxonomy

Effective September 20, 2025, the Office of Workers’ Compensation Programs (OWCP) will require all providers to include both the billing National Provider Identifier (NPI) and taxonomy code when submitting bills for services provided to OWCP ill and injured workers. Providers must ensure that the submitted NPI and taxonomy match the information listed in their OWCP provider file.

Additionally, group practices must include servicing or rendering provider NPI and taxonomy when billing a professional claim. The submitted servicing or rendering NPI and taxonomy must be associated with an active servicing provider in the OWCP provider file.

Bills with mismatched or missing data may be delayed or denied.

For billing assistance, use the resources below to ensure NPI and taxonomy details are entered in the correct fields on the billing claim form.

To prevent delays and denials, providers are encouraged to verify their NPI and taxonomy information prior to submitting bills by accessing the Workers’ Compensation Medical Bill Processing (WCMBP) portal at https://owcpmed.dol.gov/. Providers needing assistance with online access may contact our call center at the phone numbers listed below.

Providers needing to update existing information or add new details may do so either electronically or by submitting a paper form by mail or fax.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist.

  • Division of Coal Mine Workers' Compensation (DCMWC):
    1-800-638-7072
  • Division of Energy Employees Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966

OWCP New Provider Process to Copy Authorization Requests

Beginning September 20, 2025, providers using the OWCP online authorization system will have the option to copy information from a previous authorization request when submitting a new authorization.

Providers can select an existing authorization and select the Copy Authorization button. This will create a new request that mirrors the previous authorization, allowing providers to update service information, save the authorization, upload attachments, and submit the authorization.

When copying a previous authorization request, please note that the following fields cannot be changed: program, authorization type, claimant information, and provider information. Additionally, attachments from the original request will not carry over and must be uploaded again.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

  • Division of Energy Employees Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966

New OWCP Limitation of Procedure Code by Authorization Type

Effective August 9, 2025, the Office of Workers’ Compensation Programs (OWCP) will limit the procedure codes that can be submitted on an authorization request, based on the authorization type.

This change is applicable to both the Division of Energy Employees Occupational Illness Compensation (DEEOIC) and Division of Federal Employees' Compensation (DFEC).

Providers submitting authorizations requests through the Workers’ Compensation Medical Bill Processing (WCMBP) portal will now receive an error message if the requested procedure code is not applicable for the selected authorization type. The error message will guide the provider by indicating the correct authorization type required for the procedure code.

Providers submitting authorization requests by mail or fax will receive a Returned to Provider (RTP) letter if the requested procedure code is not applicable for the authorization type. The RTP letter will include the reason for return and specify the correct authorization type required for the submitted procedure code.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

  • Division of Energy Employees Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966

OWCP Servicing NPI Requirement for Group Providers

Effective August 9, 2025, the Office of Workers’ Compensation Programs (OWCP) will require group practices to include the servicing or rendering provider National Provider Identifier (NPI) when billing a professional claim. In addition, group practices must ensure the submitted servicing or rendering NPI is associated with an active servicing provider in the OWCP provider file.

Billing

Please follow the steps below to ensure the servicing NPI is submitted on the bill.

Please note that this requirement is not applicable to providers enrolled as individuals, facilities, or non-medical providers. This requirement is also not applicable to institutional or dental bills.

  • Online (Direct Data Entry DDE): Servicing provider information can be entered on professional bills as the rendering provider in the Provider Information section or at the service line. Refer to the Enter Bills Online Tutorial for instructions and examples.
  • Electronic Data Interchange (EDI): Servicing provider information is submitted in the Professional claim type Appendix A Loop 2310B for Rendering Provider information. Refer to the 837 Companion Guide for more details.
  • Paper: Servicing provider information is entered in Box 24J of the service line on the OWCP 1500 Professional bill form. Refer to the Health Insurance Claim Form (OWCP-1500) instructions for more information.

Provider Enrollment

Professional bills from group practice providers received on or after August 9, 2025, will be denied if submitted without the servicing or rendering NPI, or if the submitted servicing or rendering NPI is not active in the group provider file.

Providers can review and, if needed, update the servicing provider information through the Workers’ Compensation Medical Bill Processing (WCMBP) portal https://owcpmed.dol.gov/, or by paper on the Provider Enrollment Application (OWCP-1168) Form.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist.

  • Division of Coal Mine Workers' Compensation (DCMWC):
    1-800-638-7072
  • Division of Energy Employees Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966
     

OWCP 90-day Timeframe to Submit Enrollment Applications

Effective July 19, 2025, the Office of Workers’ Compensation (OWCP) will require provider enrollment applications to be submitted within 90 calendar days from the most recent update of the enrollment application. Applications that are started and are not submitted within the 90-day time limit will be deleted, making them unavailable for submission.

Providers will receive courtesy email reminders to complete and submit the enrollment application.

Providers are encouraged to complete all required steps and submit the enrollment application. Select this link to resume or track the in-progress enrollment application. After logging in to the Workers’ Compensation Medical Bill Processing (WCMBP) portal, providers can enter the Application Number and Tax ID (FEIN or SSN) or National Provider Identifier (NPI) and Tax ID to recall the application.

If an application is deleted, providers must start a new enrollment application for submission.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist.

  • Division of Coal Mine Workers' Compensation (DCMWC):
    1-800-638-7072
  • Division of Energy Employees Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966

OWCP Enhancement - Attachments for Authorizations Under Review

Effective June 28, 2025, the Office of Workers’ Compensation Programs (OWCP) will enhance the Workers’ Compensation Medical Bill Processing (WCMBP) System to allow providers to upload additional documentation for authorization requests that are under review.

The option to upload additional attachments will be enabled for authorization requests that indicate at least one line status is:

  • Pended Further Development
  • In Review
  • Processed Awaiting Decision

NOTE: Authorization requests in “Pended Further Development” status will change to “In Review” status once attachments are uploaded.

The WCMBP System will notify the OWCP Claims Examiner (CE) or Medical Benefits Examiner (MBE) when new documentation is uploaded.

Please refer to the following Quick Reference Guide for further information: Uploading Attachments to a Previously Submitted Authorization Request.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

  • Division of Energy Employees Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966

New Correspondence for Provider Update Requests

Effective April 05, 2025, OWCP providers will receive letters stating the outcome of the request to update their provider information. In addition, providers will receive an email alerting them that the letter is available on the OWCP Medical Bill Processing portal.

Please refer to the Correspondence Tips at https://owcpmed.dol.gov/portal/provider for helpful information on viewing available correspondence.

Providers have the option to opt-out of mailed correspondence.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

  • Division of Coal Mine Workers' Compensation (DCMWC):
    1-800-638-7072
  • Division of Energy Employees Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966

OWCP update for Online Bill Attestation

Effective February 22, 2025, OWCP providers submitting bills online using the direct data entry (DDE) feature are required to acknowledge an attestation statement for institutional and dental bills.

After entering your bill and selecting the Submit Bill button, the attestation statement will appear in a separate window. Providers must review and select the checkbox to acknowledge the attestation statement.

This attestation statement has been in place for professional bills as of November 16, 2024, and now has been extended to institutional and dental bills.

Be sure to allow pop-ups on your internet browser for the WCMBP portal https://owcpmed.dol.gov/. If you do not see the separate window after selecting the Submit Bill button, return to the portal menu and select the Retrieve Saved Bills option to locate your saved bill and submit.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

Division of Coal Mine Workers' Compensation (DCMWC):
1-800-638-7072

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

Division of Federal Employees' Compensation (DFEC):
1-844-493-1966

OWCP Bill Processing Improvement for Reactivated Providers

Effective February 22, 2025, the Office of Workers’ Compensation Programs (OWCP) will automatically reprocess denied bills for services provided by reactivated OWCP providers during their inactive status.

If the OWCP provider number submitted on a bill is not active for the billed dates of services, then the provider should submit the required documentation to reactivate their provider file. When the provider is reactivated, the denied bills will be reprocessed if the following conditions apply:

  • The denial occurred within the past six months from reactivation
  • The denial is for Explanation of Benefits (EOB) Edit 50424
  • No other denial EOB edits applied to the bill

Please note that additional denied EOB edits may be posted during reprocessing. Providers are encouraged to use to the EOB Reference Guide to find additional steps and resources to review and rectify the EOB bill denials. Please visit https://owcpmed.dol.gov/portal/provider to view the guide.

For questions, contact our Call Center at the phone number listed below, where a Call Center representative will be happy to assist you.

Division of Coal Mine Workers' Compensation (DCMWC):
1-800-638-7072

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

Division of Federal Employees' Compensation (DFEC):
1-844-493-1966

OWCP update for OWCP-1500 Bill Attestation

Effective November 16, 2024, OWCP providers submitting bills online are required to acknowledge an attestation statement for each professional bill.

After entering your bill through the WCMBP portal and selecting the Submit Bill button, a checkbox will appear with corresponding language in the Submitted Professional Bill Details alert window. Providers must review and select the checkbox to acknowledge the attestation statement before submitting the professional bill. This acknowledgement is required only for professional bills at this time.

If you do not see the alert window after selecting the Submit Bill button, be sure to allow pop-ups on your internet browser for the WCMBP portal https://owcpmed.dol.gov/, then go to the Retrieve Saved Bills option on the portal menu to access your bill.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

Division of Coal Mine Workers' Compensation (DCMWC):
1-800-638-7072

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

Division of Federal Employees' Compensation (DFEC):
1-844-493-1966

OWCP Utilization Review Edits for Services on the Same Day

On January 11, 2025, the Office of Workers’ Compensation Programs (OWCP) will implement new utilization review edits to limit billing for services performed on the same date of service.

This utilization review will apply to three OWCP Programs: DCMWC, DEEOIC, and DFEC.

The EOB descriptions for each edit will appear on the remittance voucher (RV) with the following verbiage:

Coverage/program guidelines were exceeded: Exceeds number/frequency approved/allowed within the time period.

New limits have been defined for the following services:

EOB Number Applicable Procedure Codes Utilization Review
80432 98970, 98971, 98972 Assessment is allowed once per day, per same servicing provider NPI
80434 99441, 99442, 99443 Telephone evaluation is allowed once per day, per same servicing provider NPI
80435 99374, 99375 Home health agency service is allowed once per day, per same servicing provider NPI
80436 99377, 99378 Hospice service is allowed once per day, per same servicing provider NPI
80437 99379, 99380 Nursing facility is allowed once per day, per same servicing provider NPI
80438 98966, 98967, 98968 Telephone assessment is allowed once per day, per same servicing provider NPI
80439 99421, 99422, 99423 Online digital evaluation is allowed once per day, per same servicing provider NPI
80440 99446, 99447, 99448, 99449 Interprofessional EHR assessment is allowed once per day, per same servicing provider NPI
80441 99231, 99232, 99233 Subsequent hospital inpatient or observation care service is allowed once per day, per same servicing provider NPI
80442 99234, 99235, 99236 Hospital inpatient or observation care service is allowed once per day, per same servicing provider NPI

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

  • Division of Coal Mine Workers' Compensation (DCMWC): 1-800-638-7072
  • Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC): 1-844-493-1966

OWCP Billing Requirement for Claimant Information

Effective January 10, 2025, the Office of Workers’ Compensation Programs (OWCP) will require OWCP claimant information on all bill submissions.

Professional, institutional, and dental bills must include either the claimant’s OWCP case number or their Social Security Number (SSN) and date of birth (DOB). If FECA bills are submitted with the SSN and DOB, then the claimant’s date of injury (DOI) must be included. Click here to view the Filling Out a Claim Form tips document for more information.

If bills are received without the claimant’s OWCP case number or SSN and DOB, then the bills will be returned to the provider.

OWCP’s Case Lookup feature is available on the Workers’ Compensation Medical Bill Processing (WCMBP) portal. Refer to the following tutorial for instructions on how to use the case lookup tool: Verify Claimant Eligibility (updated 05/23/2024).

Billing instructions are available in the following resources:

Online Bill Entry (Web Portal Direct Data Entry): Refer to the Enter Bills Online tutorial.

Mail (paper form): Refer to the billing instructions for each claim form by visiting the OWCP Forms and References page, selecting the OWCP Program (DCMWC, DEEOIC, or DFEC), and then selecting the OWCP-1500, OWCP-04, or ADA Dental forms.

EDI (HIPAA 837s): Refer to the updated 837 Companion Guide.

For questions, contact our Call Center at the phone number listed below, where a Call Center representative will be happy to assist you.

Division of Coal Mine Workers' Compensation (DCMWC):
1-800-638-7072

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

Division of Federal Employees' Compensation (DFEC):
1-844-493-1966

OWCP Online Provider Enrollment Enhancements November 2024

As of November 16, 2024, the Office of Workers’ Compensation Programs (OWCP) added the following enhancements to the Workers’ Compensation Medical Bill Processing (WCMBP) online direct data entry (DDE) provider enrollment application:

  • Providers can sort steps by Required vs Optional by selecting the column header.
  • Providers can modify or remove associated taxonomy under the Taxonomy step.
  • Online enrollments no longer require a signed ACH form, as previously required.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

Division of Coal Mine Workers' Compensation (DCMWC):
1-800-638-7072

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

Division of Federal Employees' Compensation (DFEC):
1-844-493-1966

OWCP New Utilization Review Edits

Effective October 26, 2024, the Office of Workers’ Compensation Programs (OWCP) will implement new utilization review to assign limits for specific services.

This utilization review will apply to three OWCP Programs: FECA (DFEC), DCMWC, DEEOIC.

New limits have been defined for the following services:

EOB Number EOB Description Applicable Procedure Codes Utilization Review
80429 Coverage/program guidelines were exceeded: Exceeds number/frequency approved/allowed within the time period. 99490, 99491, 99487, 99474, 99454, 99091, 99457 Procedures are limited to 1 unit per 30 days.
80430 Lifetime benefit maximum has been reached: This service is paid only once in a patient’s lifetime. 99473, 99453 Blood pressure and physiological monitoring device limited to 1 per lifetime.
80431 Coverage/program guidelines were exceeded: Exceeds number/frequency approved/allowed within the time period. L0140 Cervical collar limited to 2 units per 365 days.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

  • Division of Coal Mine Workers' Compensation (DCMWC):
    1-800-638-7072
  • Division of Energy Employees Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966