When reporting treatment that is consistent with the Guidelines, is a fully completed C-4 report sufficient, or must a provider also include a narrative report?
Unless the New York Workers’ Compensation medical fee schedule CPT code or ground rule requires a report, a fully completed C-4 or C-4.2 report is all that is required. However it is recommended that the provider also include office notes to provide a clearer picture of compliance with the Medical Treatment Guidelines.
Related Questions
- Can an injured worker voluntarily pay a medical provider for medical treatment that is not recommended in the Medical Treatment Guidelines?
- Does a medical provider have an option if he or she believes an injured worker needs treatment that is not consistent with the Guidelines?
- Can medical providers provide treatment that is not consistent with the Medical Treatment Guidelines if they do so for free?
