The Commonwealth Court has ruled in a case of first impression that chiropractors who treat workers’ compensation claimants are not entitled to payment for routine office visits in addition to payment for procedures that are performed during those visits.

In Sedgwick Claims Management Services v. Bureau of Workers’ Compensation, Fee Review Hearing Office (Piszel and Bucks County Pain Center), a three-judge panel of the court vacated an order of a Bureau of Workers’ Compensation fee review hearing officer, which had required plaintiff Sedgwick Claims Management Services to pay chiropractor Michael Piszel for 39 office visit charges of $78 apiece in addition to charges for treatments provided at those visits.