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Washington Administrative Code (Last Updated: November 23, 2016) |
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Title 296. Labor and Industries, Department of |
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Chapter 296-23. Radiology, radiation therapy, nuclear medicine, pathology, hospital, chiropractic, physical therapy, drugless therapeutics and nursing—Drugless therapeutics, etc. |
Section 296-23-160. General information and instructions.
Latest version.
- (1) The department or self-insurer is responsible only for repair or replacement of teeth injured or prosthodontics broken as a result of an industrial injury.(2) Information pertaining to industrial claims is explained in WAC 296-20-010.(3) Information pertaining to reports of accident is outlined in WAC 296-20-025.(4) Information pertaining to the care of workers is explained in WAC 296-20-110.(5) An estimate of cost is not needed prior to authorization of dental work unless indicated due to the extensive nature of the dental work. The department or self-insurer reserves the right to review all charges billed.(6) Billing instructions are listed in WAC 296-20-125. Bills for services must be itemized, specifying tooth numbers and materials used. No services will be paid on rejected or closed claims except those rendered in conjunction with a reopening application.(7) Billing codes, billing modifiers, reimbursement levels, and supporting policies are listed in the fee schedules.