WAC 296-20-030. Treatment not requiring authorization for accepted conditions

(1) A maximum of 20 office calls for the treatment of the industrial condition, during the first 60 days, following injury. Subsequent office calls must be authorized. Reports of treatment rendered must be filed at 60-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 12 physical therapy treatments as provided by chapters 296-21 , 296-23, and 296-23A WAC, upon consultation by the attending provider or under their 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 worker 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.