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11:59:58 PM CDT
Thursday, April 24, 2014

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Treating an Injured Worker

Topics ICD-9 Forms & Publications Medical Provider's Guide
Treating An Injured Worker Treatment Guidelines First Report of Injury (FROI) Form  
Claim Information Claim Number Lookup Capability Assessment form (C3)  
Medical Treatment Medical Provider Appeal Process Medical Services Dispute Resolution Request (M2)  
Subsequent Treatment   Provider Request for Adjustment (M6) form  

International Classification of Diseases, 9th Revision (ICD-9)
For WSI to process claims in a timely manner the ICD-9 diagnosis code(s) must be submitted on the First Report of Injury (FROI) or C3 forms.

WSI sends the injured worker, employer and primary treating doctor a letter notifying them of claim acceptance which includes the specific ICD-9 code(s) and body part(s).

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