Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-17A - Classifications for Washington workers' compensation insurance › Section 296-17A-6109 - Classification 6109

Current through Register Vol. 24-14, July 15, 2024
6109-00 Physicians, surgeons, and medical clinics,
				N.O.C.
Applies to:
* Licensed medical practitioners such as physicians and
				surgeons, not covered by another classification (N.O.C.).
* Medical clinics not covered by another classification
				(N.O.C.).
Medical practices include, but are not limited
				to:
* General medicine;
* Ophthalmology - Specializes in diagnosis and treatment of
				diseases and injuries of the eyes;
* Specialized medicine;
* Surgery centers.
Work activities include, but are not limited
				to:
* Administer or prescribe treatments and drugs;
* Analyze reports and findings of tests and
				examinations;
* Billing;
* Diagnose and treat diseases and injuries;
* Inoculate and vaccinate patients;
* House or emergency calls to attend to patients unable to
				visit the office;
* Plan and perform surgeries;
* Reception;
* Refer patients to a medical specialist or other practitioners
				for specialized treatment.
Occupations include, but are not limited
				to:
* Clerical office personnel;
* Laboratory technicians;
* Nurse practitioners;
* Nurses;
* Ophthalmologists;
* Pharmacists;
* Phlebotomists;
* Physicians;
* Sales personnel;
* Surgeons;
* X-ray technicians.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing
				services, whose principal business is treating patients in their homes are
				classified in 6110.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
6109-01 Dentists and dental clinics
Applies to:
* Dental clinics or offices;
* Licensed dental practitioners;
* Oral surgery clinics or offices.
Work activities include, but are not limited
				to:
* Billing;
* Cleaning teeth;
* Examination of teeth and gums to determine condition;
				diagnosis of disease, injuries, or malformation;
* Extractions;
* Fillings;
* House or emergency calls to attend to patients unable to
				visit the office;
* Instruction on oral and dental hygiene and preventative
				care;
* Oral surgery;
* Reception;
* Root canals;
* Tooth replacement.
Occupations include, but are not limited
				to:
* Clerical office personnel;
* Dental assistants;
* Dental hygienists;
* Dental technicians;
* Dentists;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
6109-02 Chiropractors, N.O.C.
Applies to:
Chiropractic medical practices not covered by another
				classification (N.O.C.).
Work activities include, but are not limited
				to:
* Billing;
* Diagnose and treat musculoskeletal conditions of the spinal
				column and extremities to prevent disease and correct abnormalities of the body
				believed to be caused by interference with the nervous system;
* House or emergency calls to attend to patients unable to
				visit the office;
* Manipulation of the spinal column and extremities to adjust,
				align, or correct abnormalities caused by neurologic and kinetic articular
				dysfunction;
* Reception.
Occupations include, but are not limited
				to:
* Chiropractors;
* Clerical office personnel;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing
				services, whose principal business is treating patients in their homes are
				classified in 6110.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
6109-04 Naturopaths, N.O.C.
Applies to:
Naturopathic medicine practices not covered by another
				classification (N.O.C.).
Work activities include, but are not limited
				to:
* Billing;
* Diagnose, treat, and care for patients, using a system of
				practices that bases treatment of physiological functions and abnormal
				conditions on natural laws governing the human body;
* House or emergency calls to attend to patients unable to
				visit the office;
* Reception;
* Relying on natural remedies such as, but not limited to,
				acupuncture, sunlight supplemented with diet, and naturopathic corrections and
				manipulations.
Occupations include, but are not limited
				to:
* Acupuncturists;
* Clerical office personnel;
* Naturopathic and alternative health practitioners;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				nature of the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing
				services, whose principal business is treating patients in their homes are
				classified in 6110.
* Businesses providing in-home personal care and chore services
				are classified in 6511.
* Personal care and chore service employees employed by the
				person being cared for are classified in 6510 or 6512.
* Dieticians and counselors employed by home health care
				services who meet the standard exception requirements and are classified in
				6303.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
6109-08 Physical, occupational, respiratory, and speech
				therapists, N.O.C.
Applies to:
Businesses engaged in the practice of physical, occupational,
				respiratory or speech therapy not covered by another classification
				(N.O.C.).
Work activities include, but are not limited
				to:
* Billing;
* House or emergency calls to attend to patients unable to
				visit the office;
* Maintain optimum performance of patients by using exercise,
				massage, heat, light, water, electricity, and specific therapeutic apparatus,
				or by participation in medically oriented rehabilitative programs, including
				educational, occupational, and recreational activities;
* Treating and rehabilitating people with physical or mental
				disabilities by developing and restoring functions or preventing loss of
				capacities.
Occupations include, but are not limited
				to:
* Clerical office personnel;
* Physical therapists plan and administer medically prescribed
				physical therapy treatment for patients suffering from injuries, or muscle,
				nerve, joint and bone diseases, to restore function, relieve pain, and prevent
				disability;
* Occupational therapists plan, organize, and conduct
				occupational therapy programs to facilitate development and rehabilitation of
				people living with mental, physical, or emotional disabilities;
* Respiratory therapists administer respiratory therapy care
				and life support to patients with deficiencies and abnormalities of the
				cardiopulmonary system, under the supervision of physicians and by
				prescription;
* Sales personnel;
* Speech therapists specialize in diagnosis and treatment of
				speech and language problems and engage in scientific study of human
				communication.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				nature of the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing
				services, whose principal business is treating patients in their homes are
				classified in 6110.
* Businesses providing in-home personal care and chore services
				are classified in 6511.
* Personal care and chore service employees employed by the
				person being cared for are classified in 6510 or 6512.
* Dieticians and counselors employed by home health care
				services who meet the standard exception requirements and are classified in
				6303.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
6109-09 Eye clinics
Applies to:
Eye clinics not covered by another classification
				(N.O.C.).
* Eye clinics may specialize in the type of services provided,
				such as contact lenses, low vision aids, or vision therapy, or in the treatment
				of specific groups such as children or elderly patients.
Work activities include, but are not limited
				to:
* Billing;
* Examining patients' eyes to determine the nature and degree
				of vision problems or eye diseases;
* House or emergency calls to attend to patients unable to
				visit the office;
* May specialize in the type of services provided, such as
				contact lenses, low vision aids, or vision therapy, or in the treatment of
				specific groups such as children or elderly patients;
* Performing various tests to determine visual acuity and
				perception and to diagnose diseases and other abnormalities, such as glaucoma
				and color blindness,
* Prescribing corrective lenses or procedures;
* Reception.
Occupations include, but are not limited
				to:
* Clerical office personnel;
* Opticians;
* Optometrists;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Optometrists employed by optical goods stores are classified
				in 6308.
* Ophthalmology practices are classified in 6109-00.
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
6109-10 Licensed mental health practitioners;
				psychologists and psychiatrists
Applies to:
Businesses engaged in the practice of diagnosing and treating
				patients with mental, emotional, or behavioral disorders not covered by another
				classification (N.O.C.).
Work activities include, but are not limited
				to:
* Billing;
* Diagnose or evaluate mental and emotional disorders of
				individuals and administer programs of treatment utilizing a variety of
				psychotherapeutic methods which can include medication;
* House or emergency calls to attend to patients unable to
				visit the office;
* Interview patients in clinics, hospitals, prisons, and other
				institutions, and study medical and social case histories;
* Organize data obtained from the patient, relatives, and other
				sources, concerning the patient's family, medical history, and the onset of
				symptoms.
Occupations include, but are not limited
				to:
* Clerical office personnel;
* Counselors;
* Psychiatrists;
* Psychologists;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing
				services, whose principal business is treating patients in their homes are
				classified in 6110.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
6109-12 Nutrition, diet, or weight loss clinics,
				N.O.C.
Applies to:
Businesses engaged as nutrition, diet, or weight loss clinics
				not covered by another classification (N.O.C.).
Work activities include, but are not limited
				to:
* Billing;
* House or emergency calls to attend to patients unable to
				visit the office;
* Programs to help clients achieve healthy and permanent weight
				loss through healthy eating habits;
* Programs based on behavior modification theory;
* Private counseling or group support meetings and seminars to
				educate individuals about their eating habits and proper eating
				patterns;
* Publish newsletters or other forms of literature for the
				benefit of their clients;
* Reception;
* Selling vitamin supplements or a line of food products to be
				used by their clients.
Occupations include, but are not limited
				to:
* Clerical office personnel;
* Dieticians;
* Nutritionists;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Worker hours doing exercise programs such as personal fitness
				training or aerobic exercise instruction are reported separately in the
				applicable classification.
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Dieticians and counselors employed by home health care
				services who meet the standard exception requirements and are classified in
				6303.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
6109-13 Childbirth classes
Applies to:
Businesses providing childbirth education for expectant
				parents.
Services include, but are not limited to:
* Breathing and relaxing techniques instructions;
* Education on what to expect during pregnancy;
* Literature and movies may be provided in addition to oral
				instruction;
* Massage therapy instructions.
Occupations include, but are not limited
				to:
* Billing personnel;
* Childbirth instructors;
* Clerical office personnel;
* Receptionists;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Businesses providing medical care, therapy, and nursing
				services, whose principal business is treating patients in their homes are
				classified in 6110.
* Businesses providing in-home personal care and chore services
				are classified in 6511.
* Personal care and chore service employees employed by the
				person being cared for are classified in 6510 or 6512.
* Dieticians and counselors employed by home health care
				services who meet the standard exception requirements and are classified in
				6303.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
6109-14 Orthotic and Prosthetic clinics
Applies to:
Businesses operating as orthotic or prosthetic clinics which
				fit and prepare orthopedic braces and prosthetics under the direction of and in
				consultation with physicians.
Orthotists work includes, but is not limited
				to:
* Examine and evaluate the patient's needs in relation to
				disease and functional loss;
* Assist in the design of an orthopedic brace;
* Select materials, make cast measurements, model modifications
				and layouts;
* Evaluate the brace on a patient, make adjustments to ensure
				correct fit, and instruct the patient in its use;
* House or emergency calls to attend to patients unable to
				visit the office.
Prosthetists work includes, but is not limited
				to:
* Care to patients with partial or total absence of a
				limb;
* Planning fabrication of, writing specifications for, and
				fitting the prosthesis under the guidance of and in consultation with a
				physician;
* House or emergency calls to attend to patients unable to
				visit the office.
Occupations include, but are not limited
				to:
* Billing personnel;
* Clerical office personnel;
* Orthotists;
* Prosthetists;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Manufacturing of orthopedic braces, splints or prostheses are
				classified in the applicable classification.
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
6109-15 Midwife services
Applies to:
Businesses engaged in the practice of midwifery.
Work activities include, but are not limited
				to:
* Billing;
* Caring for women undergoing medically uncomplicated pregnancy
				and low risk labor and delivery;
* Delivery may take place in a clinic setting or in the
				expectant mother's home;
* Reception.
Occupations include, but are not limited
				to:
* Clerical office personnel;
* Midwives;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing
				services, whose principal business is treating patients in their homes are
				classified in 6110.
* Businesses providing in-home personal care and chore services
				are classified in 6511.
* Personal care and chore service employees employed by the
				person being cared for are classified in 6510 or 6512.
* Dieticians and counselors employed by home health care
				services who meet the standard exception requirements and are classified in
				6303.
6109-16 Licensed massage therapy, reflexology, and foot
				massage services
Applies to:
* Businesses providing reflexology or foot massage
				services.
* Businesses of licensed practitioners who are engaged in the
				practice of massage therapy. Some massage therapists work in conjunction with
				physicians or sports teams, or at hospitals, rehabilitation facilities or
				convalescent homes.
Work activities include, but are not limited
				to:
* Billing;
* Determining the modality to be used, such as deep-muscle
				work, trigger-point therapy, or joint rotation;
* Determine the nature of the massage; relaxation, correction,
				or to relieve a medical problem, reviewing medical reports;
* House or emergency calls to attend to patients unable to
				visit the office;
* Reception.
Occupations include, but are not limited
				to:
* Clerical office personnel;
* Massage therapists;
* Reflexologists;
* Sales personnel.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Massage therapists employed by a health club, gymnasium,
				sauna, or bath house are classified in 6204.
* Massage therapists employed by a salon or other business are
				classified in 6501.
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing
				services, whose principal business is treating patients in their homes are
				classified in 6110.
* Businesses providing in-home personal care and chore services
				are classified in 6511.
* Personal care and chore service employees employed by the
				person being cared for are classified in 6510 or 6512.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
6109-17 Radiology and MRI referral clinics
Applies to:
Businesses engaged in the practice of radiology and/or magnetic
				resonance imaging.
Work activities include, but are not limited
				to:
* Administer radiopaque substances by injection, orally, or as
				enemas, to render internal structures and organs visible on X-ray films or
				fluoroscopic screens;
* Billing;
* Diagnose and treat diseases of the human body using X-ray and
				radioactive substances;
* Examine the internal structures and functions of the organ
				systems and make diagnoses after correlating the X-ray findings with other
				examinations and tests;
* Magnetic resonance imaging technologists to operate magnetic
				resonance imaging equipment which produces cross-sectional images (photographs)
				of a patient's body for diagnostic purposes;
* Reception.
Occupations include, but are not limited
				to:
* Clerical office personnel;
* Nurses;
* Radiologists;
* Sales personnel;
* Technologists.
Special note
:
Some organizations
				such as schools, spas, sports teams, and summer camps may employ medical and
				health practitioners to provide care to their employees or customers. These
				medical services are included in the basic classification assigned to the
				organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical
				services treating animals are classified in 6107.
* Medical facilities that include overnight acute care,
				recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed
				convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care
				services with less than acute care medical services are classified in
				6509.
07-01-014, recodified as § 296-17A-6109, filed 12/8/06,
				  effective 12/8/06. Statutory Authority:
				  RCW
				   51.16.035,
				  51.04.020. 00-14-052, §
				  296-17-686, filed 7/1/00, effective 7/1/00. Statutory Authority:
				  RCW
				   51.16.035. 99-18-068, § 296-17-686,
				  filed 8/31/99, effective 10/1/99; 98-18-042, § 296-17-686, filed 8/28/98,
				  effective 10/1/98. Statutory Authority:
				  RCW
				   51.04.020(1) and
				  51.16.035. 94-12-063, §
				  296-17-686, filed 5/30/94, effective 6/30/94; 93-12-093, § 296-17-686,
				  filed 5/31/93, effective 7/1/93. Statutory Authority:
				  RCW
				   51.16.035. 87-24-060 (Order 87-26), §
				  296-17-686, filed 12/1/87, effective 1/1/88; 87-12-032 (Order 87-12), §
				  296-17-686, filed 5/29/87, effective 7/1/87; 85-24-032 (Order 85-33), §
				  296-17-686, filed 11/27/85, effective 1/1/86; 85-06-026 (Order 85-7), §
				  296-17-686, filed 2/28/85, effective 4/1/85; 83-24-017 (Order 83-36), §
				  296-17-686, filed 11/30/83, effective 1/1/84; 81-24-042 (Order 81-30), §
				  296-17-686, filed 11/30/81, effective 1/1/82; Order 73-22, § 296-17-686,
				  filed 11/9/73, effective 1/1/74.