WAC 296-23-160. General information and instructions

(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.