Under the New York State Workers’ Compensation Board’s Medical Treatment Guidelines, pre-authorization is not needed for various modalities of treatment specifically referred in the Guidelines. However, certain procedures have been enumerated under Section A.14 of the Guidelines and specifically require pre-authorization. These procedures are listed below:
- Lumbar Fusion
- Artificial Disk Replacement
- Electric Bone Growth Stimulator
- Spinal Cord Osteochondral Autograph
- Autologous Chondrocyte Implantation
- Meniscal Allograft Transplantation
- Knee Arthroplasty (Total or Partial Knee Replacement)
A physician proposing one of the procedures noted above is required to file C-4AUTH in order to properly request authorization.
Securing proper medical treatment under the new Guidelines is extremely difficult to do. If you have questions regarding any aspect of your Workers’ Compensation claim, please feel free to contact us.