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.
