Wash. Admin. Code § 296-17A-6109
6109-00 Physicians, surgeons, and medical clinics, N.O.C.
Applies to:
* Licensed medical practitioners such as physicians and surgeons, not covered by another classification (N.O.C.).
* Medical clinics not covered by another classification (N.O.C.).
Medical practices include, but are not limited to:
* General medicine;
* Ophthalmology - Specializes in diagnosis and treatment of diseases and injuries of the eyes;
* Specialized medicine;
* Surgery centers.
Work activities include, but are not limited to:
* Administer or prescribe treatments and drugs;
* Analyze reports and findings of tests and examinations;
* Billing;
* Diagnose and treat diseases and injuries;
* Inoculate and vaccinate patients;
* House or emergency calls to attend to patients unable to visit the office;
* Plan and perform surgeries;
* Reception;
* Refer patients to a medical specialist or other practitioners for specialized treatment.
Occupations include, but are not limited to:
* Clerical office personnel;
* Laboratory technicians;
* Nurse practitioners;
* Nurses;
* Ophthalmologists;
* Pharmacists;
* Phlebotomists;
* Physicians;
* Sales personnel;
* Surgeons;
* X-ray technicians.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing services, whose principal business is treating patients in their homes are classified in 6110.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
6109-01 Dentists and dental clinics
Applies to:
* Dental clinics or offices;
* Licensed dental practitioners;
* Oral surgery clinics or offices.
Work activities include, but are not limited to:
* Billing;
* Cleaning teeth;
* Examination of teeth and gums to determine condition; diagnosis of disease, injuries, or malformation;
* Extractions;
* Fillings;
* House or emergency calls to attend to patients unable to visit the office;
* Instruction on oral and dental hygiene and preventative care;
* Oral surgery;
* Reception;
* Root canals;
* Tooth replacement.
Occupations include, but are not limited to:
* Clerical office personnel;
* Dental assistants;
* Dental hygienists;
* Dental technicians;
* Dentists;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
6109-02 Chiropractors, N.O.C.
Applies to:
Chiropractic medical practices not covered by another classification (N.O.C.).
Work activities include, but are not limited to:
* Billing;
* Diagnose and treat musculoskeletal conditions of the spinal column and extremities to prevent disease and correct abnormalities of the body believed to be caused by interference with the nervous system;
* House or emergency calls to attend to patients unable to visit the office;
* Manipulation of the spinal column and extremities to adjust, align, or correct abnormalities caused by neurologic and kinetic articular dysfunction;
* Reception.
Occupations include, but are not limited to:
* Chiropractors;
* Clerical office personnel;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing services, whose principal business is treating patients in their homes are classified in 6110.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
6109-04 Naturopaths, N.O.C.
Applies to:
Naturopathic medicine practices not covered by another classification (N.O.C.).
Work activities include, but are not limited to:
* Billing;
* Diagnose, treat, and care for patients, using a system of practices that bases treatment of physiological functions and abnormal conditions on natural laws governing the human body;
* House or emergency calls to attend to patients unable to visit the office;
* Reception;
* Relying on natural remedies such as, but not limited to, acupuncture, sunlight supplemented with diet, and naturopathic corrections and manipulations.
Occupations include, but are not limited to:
* Acupuncturists;
* Clerical office personnel;
* Naturopathic and alternative health practitioners;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the nature of the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing services, whose principal business is treating patients in their homes are classified in 6110.
* Businesses providing in-home personal care and chore services are classified in 6511.
* Personal care and chore service employees employed by the person being cared for are classified in 6510 or 6512.
* Dieticians and counselors employed by home health care services who meet the standard exception requirements and are classified in 6303.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
6109-08 Physical, occupational, respiratory, and speech therapists, N.O.C.
Applies to:
Businesses engaged in the practice of physical, occupational, respiratory or speech therapy not covered by another classification (N.O.C.).
Work activities include, but are not limited to:
* Billing;
* House or emergency calls to attend to patients unable to visit the office;
* Maintain optimum performance of patients by using exercise, massage, heat, light, water, electricity, and specific therapeutic apparatus, or by participation in medically oriented rehabilitative programs, including educational, occupational, and recreational activities;
* Treating and rehabilitating people with physical or mental disabilities by developing and restoring functions or preventing loss of capacities.
Occupations include, but are not limited to:
* Clerical office personnel;
* Physical therapists plan and administer medically prescribed physical therapy treatment for patients suffering from injuries, or muscle, nerve, joint and bone diseases, to restore function, relieve pain, and prevent disability;
* Occupational therapists plan, organize, and conduct occupational therapy programs to facilitate development and rehabilitation of people living with mental, physical, or emotional disabilities;
* Respiratory therapists administer respiratory therapy care and life support to patients with deficiencies and abnormalities of the cardiopulmonary system, under the supervision of physicians and by prescription;
* Sales personnel;
* Speech therapists specialize in diagnosis and treatment of speech and language problems and engage in scientific study of human communication.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the nature of the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing services, whose principal business is treating patients in their homes are classified in 6110.
* Businesses providing in-home personal care and chore services are classified in 6511.
* Personal care and chore service employees employed by the person being cared for are classified in 6510 or 6512.
* Dieticians and counselors employed by home health care services who meet the standard exception requirements and are classified in 6303.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
6109-09 Eye clinics
Applies to:
Eye clinics not covered by another classification (N.O.C.).
* Eye clinics may specialize in the type of services provided, such as contact lenses, low vision aids, or vision therapy, or in the treatment of specific groups such as children or elderly patients.
Work activities include, but are not limited to:
* Billing;
* Examining patients' eyes to determine the nature and degree of vision problems or eye diseases;
* House or emergency calls to attend to patients unable to visit the office;
* May specialize in the type of services provided, such as contact lenses, low vision aids, or vision therapy, or in the treatment of specific groups such as children or elderly patients;
* Performing various tests to determine visual acuity and perception and to diagnose diseases and other abnormalities, such as glaucoma and color blindness,
* Prescribing corrective lenses or procedures;
* Reception.
Occupations include, but are not limited to:
* Clerical office personnel;
* Opticians;
* Optometrists;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Optometrists employed by optical goods stores are classified in 6308.
* Ophthalmology practices are classified in 6109-00.
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
6109-10 Licensed mental health practitioners; psychologists and psychiatrists
Applies to:
Businesses engaged in the practice of diagnosing and treating patients with mental, emotional, or behavioral disorders not covered by another classification (N.O.C.).
Work activities include, but are not limited to:
* Billing;
* Diagnose or evaluate mental and emotional disorders of individuals and administer programs of treatment utilizing a variety of psychotherapeutic methods which can include medication;
* House or emergency calls to attend to patients unable to visit the office;
* Interview patients in clinics, hospitals, prisons, and other institutions, and study medical and social case histories;
* Organize data obtained from the patient, relatives, and other sources, concerning the patient's family, medical history, and the onset of symptoms.
Occupations include, but are not limited to:
* Clerical office personnel;
* Counselors;
* Psychiatrists;
* Psychologists;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing services, whose principal business is treating patients in their homes are classified in 6110.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
6109-12 Nutrition, diet, or weight loss clinics, N.O.C.
Applies to:
Businesses engaged as nutrition, diet, or weight loss clinics not covered by another classification (N.O.C.).
Work activities include, but are not limited to:
* Billing;
* House or emergency calls to attend to patients unable to visit the office;
* Programs to help clients achieve healthy and permanent weight loss through healthy eating habits;
* Programs based on behavior modification theory;
* Private counseling or group support meetings and seminars to educate individuals about their eating habits and proper eating patterns;
* Publish newsletters or other forms of literature for the benefit of their clients;
* Reception;
* Selling vitamin supplements or a line of food products to be used by their clients.
Occupations include, but are not limited to:
* Clerical office personnel;
* Dieticians;
* Nutritionists;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Worker hours doing exercise programs such as personal fitness training or aerobic exercise instruction are reported separately in the applicable classification.
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Dieticians and counselors employed by home health care services who meet the standard exception requirements and are classified in 6303.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
6109-13 Childbirth classes
Applies to:
Businesses providing childbirth education for expectant parents.
Services include, but are not limited to:
* Breathing and relaxing techniques instructions;
* Education on what to expect during pregnancy;
* Literature and movies may be provided in addition to oral instruction;
* Massage therapy instructions.
Occupations include, but are not limited to:
* Billing personnel;
* Childbirth instructors;
* Clerical office personnel;
* Receptionists;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Businesses providing medical care, therapy, and nursing services, whose principal business is treating patients in their homes are classified in 6110.
* Businesses providing in-home personal care and chore services are classified in 6511.
* Personal care and chore service employees employed by the person being cared for are classified in 6510 or 6512.
* Dieticians and counselors employed by home health care services who meet the standard exception requirements and are classified in 6303.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
6109-14 Orthotic and Prosthetic clinics
Applies to:
Businesses operating as orthotic or prosthetic clinics which fit and prepare orthopedic braces and prosthetics under the direction of and in consultation with physicians.
Orthotists work includes, but is not limited to:
* Examine and evaluate the patient's needs in relation to disease and functional loss;
* Assist in the design of an orthopedic brace;
* Select materials, make cast measurements, model modifications and layouts;
* Evaluate the brace on a patient, make adjustments to ensure correct fit, and instruct the patient in its use;
* House or emergency calls to attend to patients unable to visit the office.
Prosthetists work includes, but is not limited to:
* Care to patients with partial or total absence of a limb;
* Planning fabrication of, writing specifications for, and fitting the prosthesis under the guidance of and in consultation with a physician;
* House or emergency calls to attend to patients unable to visit the office.
Occupations include, but are not limited to:
* Billing personnel;
* Clerical office personnel;
* Orthotists;
* Prosthetists;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Manufacturing of orthopedic braces, splints or prostheses are classified in the applicable classification.
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
6109-15 Midwife services
Applies to:
Businesses engaged in the practice of midwifery.
Work activities include, but are not limited to:
* Billing;
* Caring for women undergoing medically uncomplicated pregnancy and low risk labor and delivery;
* Delivery may take place in a clinic setting or in the expectant mother's home;
* Reception.
Occupations include, but are not limited to:
* Clerical office personnel;
* Midwives;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing services, whose principal business is treating patients in their homes are classified in 6110.
* Businesses providing in-home personal care and chore services are classified in 6511.
* Personal care and chore service employees employed by the person being cared for are classified in 6510 or 6512.
* Dieticians and counselors employed by home health care services who meet the standard exception requirements and are classified in 6303.
6109-16 Licensed massage therapy, reflexology, and foot massage services
Applies to:
* Businesses providing reflexology or foot massage services.
* Businesses of licensed practitioners who are engaged in the practice of massage therapy. Some massage therapists work in conjunction with physicians or sports teams, or at hospitals, rehabilitation facilities or convalescent homes.
Work activities include, but are not limited to:
* Billing;
* Determining the modality to be used, such as deep-muscle work, trigger-point therapy, or joint rotation;
* Determine the nature of the massage; relaxation, correction, or to relieve a medical problem, reviewing medical reports;
* House or emergency calls to attend to patients unable to visit the office;
* Reception.
Occupations include, but are not limited to:
* Clerical office personnel;
* Massage therapists;
* Reflexologists;
* Sales personnel.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Massage therapists employed by a health club, gymnasium, sauna, or bath house are classified in 6204.
* Massage therapists employed by a salon or other business are classified in 6501.
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Businesses providing medical care, therapy, and nursing services, whose principal business is treating patients in their homes are classified in 6110.
* Businesses providing in-home personal care and chore services are classified in 6511.
* Personal care and chore service employees employed by the person being cared for are classified in 6510 or 6512.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
6109-17 Radiology and MRI referral clinics
Applies to:
Businesses engaged in the practice of radiology and/or magnetic resonance imaging.
Work activities include, but are not limited to:
* Administer radiopaque substances by injection, orally, or as enemas, to render internal structures and organs visible on X-ray films or fluoroscopic screens;
* Billing;
* Diagnose and treat diseases of the human body using X-ray and radioactive substances;
* Examine the internal structures and functions of the organ systems and make diagnoses after correlating the X-ray findings with other examinations and tests;
* Magnetic resonance imaging technologists to operate magnetic resonance imaging equipment which produces cross-sectional images (photographs) of a patient's body for diagnostic purposes;
* Reception.
Occupations include, but are not limited to:
* Clerical office personnel;
* Nurses;
* Radiologists;
* Sales personnel;
* Technologists.
Special note: Some organizations such as schools, spas, sports teams, and summer camps may employ medical and health practitioners to provide care to their employees or customers. These medical services are included in the basic classification assigned to the organization's business.
Exclusions:
* Business with veterinarians and surgeons providing medical services treating animals are classified in 6107.
* Medical facilities that include overnight acute care, recovery, and rehabilitation are classified in 6105, 6120, and 6121.
* Medical facilities providing care in state licensed convalescent and nursing homes are classified in 6108.
* Long-term residential facilities providing personal care services with less than acute care medical services are classified in 6509.
Wash. Admin. Code § 296-17A-6109
07-01-014, recodified as § 296-17A-6109, filed 12/8/06, effective 12/8/06. Statutory Authority: RCW 51.16.035, 51.04.020. 00-14-052, § 296-17-686, filed 7/1/00, effective 7/1/00. Statutory Authority: RCW 51.16.035. 99-18-068, § 296-17-686, filed 8/31/99, effective 10/1/99; 98-18-042, § 296-17-686, filed 8/28/98, effective 10/1/98. Statutory Authority: RCW 51.04.020(1) and 51.16.035. 94-12-063, § 296-17-686, filed 5/30/94, effective 6/30/94; 93-12-093, § 296-17-686, filed 5/31/93, effective 7/1/93. Statutory Authority: RCW 51.16.035. 87-24-060 (Order 87-26), § 296-17-686, filed 12/1/87, effective 1/1/88; 87-12-032 (Order 87-12), § 296-17-686, filed 5/29/87, effective 7/1/87; 85-24-032 (Order 85-33), § 296-17-686, filed 11/27/85, effective 1/1/86; 85-06-026 (Order 85-7), § 296-17-686, filed 2/28/85, effective 4/1/85; 83-24-017 (Order 83-36), § 296-17-686, filed 11/30/83, effective 1/1/84; 81-24-042 (Order 81-30), § 296-17-686, filed 11/30/81, effective 1/1/82; Order 73-22, § 296-17-686, filed 11/9/73, effective 1/1/74.