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Physical therapy (California )
#1
Does anyone know if WC has a limit on PT sessions if therapys and doctor want more sessions do they just approve or is there a limit on how many they will approve?
 
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#2
24 visits.
the carrier/employer can agree to more.
see 4604.5 of the Labor Code
http://www.leginfo.ca.gov/cgi-bin/displa...600-4614.1
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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#3
Another instance where you may receive above the 24 limit is if you have surgery. In this case you may receive additional PT from the 24 pre-surgery visits.There are additional provisions in the MTUS (Medical Treatment Utilization Schedule) in which the surgeon may request additional visits due to post surgery.

PT requests may be subject to UR/IMR if the adjuster does not approve them.
I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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