W4 (312)    ADJUSTMENT REASON (161.91)

Name Value
CODE W4
STATUS EFFECTIVE DATE
  • 2012-09-30 00:00:00
    STATUS:   ACTIVE
    FEE USE:   NOT APPLICABLE
  • 2014-07-01 00:00:00
    STATUS:   INACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Workers' Compensation Medical Treatment Guideline Adjustment.
SUSPENSION DESCRIPTION 
Workers' Compensation Medical Treatment Guideline Adjustment.