Physiotherapy treatment will only be paid within the period pre-authorized by WorkSafeBC.
For Stream 1, the physical therapist must submit a Physiotherapy Report (form 268):
at least five (5) business days prior to the treatment end date if the worker is not expected to return to pre-injury hours and duties or
within five (5) business days from recommending transfer to Stream 2 as a result of a significant change in worker’s condition.
For Stream 2, the physical therapist must contact the WorkSafeBC officer at least ten (10) business days prior to the end date if the expected outcome will not be achieved at the end of the treatment plan.
For Streams 3 and 4, the physical therapist must contact the WorkSafeBC officer at least five (5) business days prior to the end date if the expected outcome will not be achieved at the end of the treatment plan.
For Hydrotherapy, the physiotherapist must submit Physiotherapy Report form 268 for hydrotherapy extensions for treatments beyond the first five sessions.
If notice of approval or rejection of the treatment plan is not received within five (5) business days of submission of the Physiotherapy Report, the physical therapist may initiate Stream 2, 3, and 4 treatment plans and will be compensated by WorkSafeBC for the services until communication is received from the WorkSafeBC officer. Treatment shall not continue beyond the parameters outlined in the initial treatment plan. Not applicable for transfers from Stream 1 to Stream 2.
For more information, refer to the Physiotherapy Services Reference Manual on WorkSafeBC.com.
Billing report codes: Stream 1 (19185), Transfer from Stream 1 to Stream 2 (19185), Stream 2 (19203), Stream 3 (19173), Stream 4 (19175), Hydrotherapy (19199).
Billing late report codes: Stream 1 (19186), Transfer from Stream 1 to Stream 2 (19186), Stream 2 (19187), Stream 3 (19189), Stream 4 (19197).
Reports are to be sent to WorkSafeBC by FAX at 604 233-9777or toll-free 1 888 922-8807.
If you have any questions about this form, contact Health Care Services at 604 232-7787 or toll free
1 866 244-6404.
Personal information on this form is collected for the purposes of administering a worker’s compensation claim by WorkSafeBC in accordance with the Workers Compensation Act and the Freedom of Information and Protection of Privacy Act. For further information about the collection of personal information, please contact WorkSafeBC’s Freedom of Information Coordinator at PO Box 2310 Stn Terminal, Vancouver BC, V6B 3W5, or telephone 604 279-8171.