2.ZZ.02
MD Loss Assessment or Examination
HXXMR
S25 Assessment - Map to MD Loss
AXXTT
Travel Time provider to Treatment
7.SC.02
Home Assessment/Work Assessment which will map to MD Loss
DC
Chiropractor
6.VA.02
Therapeutic MD Loss
IXXPW
S44 Assessment - Map to EE Loss
AXXMT
Missed Treatment Appointment
7.SF.15
Service Brokerage - Map to RV Loss
MT
Massage Therapist
3.SC.10
Map to MD Loss for Diagnostic Imaging
IXXCA
S44 Assessment - Map to EE Loss
AXXKM
Provider Treatment Mileage
OT
Occupational Therapist
2.SG.08
Diagnostic Interventions (Assessments, Tests), Map to MD Loss
MIG02
Map to MD Loss - Minor Injury Guideline
AXXOT
Other (description required: parking, photocopying)
7.SF.12
Service Planning for assessment or examination - Map to MD Loss
SW
Social Worker
1.SC.04
Therapeutic Interventions (physical/psychological) - MD Loss
GXX06
Map to MD Loss - assistive devices
AXXTI
Customer Transportation to IE
7.SP.10
Counselling or Potential Condition - Map to MD Loss
MD
Other Medical/Surgical Practitioner