DFEC Surgical Package Authorization Procedure Codes

The Office of Workers’ Compensation Programs (OWCP) Division of Federal Employees' Compensation (DFEC) requires that valid surgical procedure codes be submitted for surgical package authorization requests. The valid surgical code range is 10021 – 69990.

Non-surgical procedure codes cannot be submitted on a surgical package authorization request. Mailed or faxed surgical package authorization requests submitted with non-surgical procedure codes will be returned to the provider (RTP’d).

Non-surgical procedure codes can be submitted on an alternative authorization request template, such as General Medical. Please see our Authorizations Introduction page for templates and tutorials: https://owcpmed.dol.gov/portal/Provider/Authorizations.

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

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

OWCP Procedure Code and Modifier Combination for Eligibility and Authorization Submission

Effective July 13, 2024, the Office of Workers’ Compensation Programs (OWCP) will enhance the Workers’ Compensation Medical Bill Processing (WCMBP) eligibility inquiry and authorization submission pages with new messaging to inform users if the procedure code is covered or not covered with a certain modifier.

The eligibility inquiry messaging is applicable to the DCMWC, DEEOIC, and DFEC programs.

The authorization submission messaging is applicable to DEEOIC and DFEC.

The message will be updated to include the following scenarios:

  • Procedure code and modifier combination is not covered.
  • Procedure code must be submitted with modifier to be covered.
  • Procedure code/modifier combination are not covered, but procedure code and other modifier combination are covered.

For additional information, contact our Call Center at the applicable numbers 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

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