Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-20 - Medical aid rules › TREATMENT AUTHORIZATION REQUIREMENTS › Section 296-20-030 - Treatment not requiring authorization for accepted conditions

Current through Register Vol. 24-14, July 15, 2024
(1) A maximum of
				twenty office calls for the treatment of the industrial condition, during the
				first sixty days, following injury. Subsequent office calls must be authorized.
				Reports of treatment rendered must be filed at sixty day intervals to include
				number of office visits to date. See chapter 296-20 WAC and department policies
				for report requirements and further information.
(2) Initial diagnostic X rays necessary for
				evaluation and treatment of the industrial injury or condition. See WAC
				296-20-121 for further
				information.
(3) The first twelve
				physical therapy treatments as provided by chapters296-21, 296-23, and 296-23A
				WAC, upon consultation by the attending doctor or under his direct supervision.
				Additional physical therapy treatment must be authorized and the request
				substantiated by evidence of improvement. In no case will the department or
				self-insurer pay for inpatient hospitalization of a claimant to receive
				physical therapy treatment only. USE OF DIAPULSE, THERMATIC (standard model
				only), SPECTROWAVE AND SUPERPULSE MACHINES AND IONTOPHORESIS IS NOT AUTHORIZED
				FOR WORKERS ENTITLED TO BENEFITS UNDER THE INDUSTRIAL INSURANCE ACT.
(4) Routine laboratory studies reasonably
				necessary for diagnosis and/or treatment of the industrial condition. Other
				special laboratory studies require authorization.
(5) Routine standard treatment measures
				rendered on an emergency basis or in connection with minor injuries not
				otherwise requiring authorization.
(6) Consultation with specialist when
				indicated. See WAC
				296-20-051 for consultation
				guidelines.
(7) Myelogram if prior
				to emergency surgery.
Statutory Authority:
					 RCW
					 70.14.110,
					 51.04.020, and
					 51.04.030. 12-12-059, §
					 296-20-030, filed 6/5/12, effective 7/6/12. Statutory Authority:
					 RCW
					  51.04.020 and
					 51.04.030. 00-01-040, §
					 296-20-030, filed 12/7/99, effective 1/20/00. Statutory Authority:
					 RCW
					  51.04.020,
					 51.04.030 and 1993 c 159.
					 93-16-072, § 296-20-030, filed 8/1/93, effective 9/1/93. Statutory
					 Authority:
					 RCW
					  51.04.020(4) and
					 51.04.030. 86-06-032 (Order
					 86-19), § 296-20-030, filed 2/28/86, effective 4/1/86. Statutory
					 Authority:
					 RCW
					  51.04.020(4),
					 51.04.030, and
					 51.16.120(3).
					 81-24-041 (Order 81-28), § 296-20-030, filed 11/30/81, effective 1/1/82;
					 81-01-100 (Order 80-29), § 296-20-030, filed 12/23/80, effective 3/1/81;
					 Order 76-34, § 296-20-030, filed 11/24/76, effective 1/1/77; Order 75-39,
					 § 296-20-030, filed 11/28/75, effective 1/1/76; Order 74-7, §
					 296-20-030, filed 1/30/74; Order 71-6, § 296-20-030, filed 6/1/71; Order
					 70-12, § 296-20-030, filed 12/1/70, effective 1/1/71; Order 68-7, §
					 296-20-030, filed 11/27/68, effective
					 1/1/69.