Ohio’s complexity rating on a vocational rehabilitation case — 1, 2 or 3 — and the reason the same activity has three different codes and three different rates.
An Ohio vocational rehabilitation case carries a complexity level: 1, 2 or 3. The level does not describe what you did — it describes the case. And it decides the rate.
On the plan-implementation W-codes that shows up as a suffix. W3235 is report writing on a Level 1 case at $81.90 an hour. W3235W2 is the same activity on a Level 2 case at $84.40. There is a W3 variant above that, at its own rate. The pre-plan and assessment family (W3007, W3017, W3020, W3025) is not leveled at all. Current as of July 2026 — verify with Ohio BWC.
Bill the bare code on a Level 2 case and you have quietly discounted your own work. The payer processes it, pays it, and everything looks correct on the EOR — because it is correct, for the code you sent.
Which is why the level belongs on the front of the case file next to the claim number and the MCO, and why it should be a property of the client record rather than something you remember while typing thirty activities. Ohio case types — standard BWC, JR, SI and RAW — work the same way: they decide the code family, and they are not yours to choose at billing time.
The Ohio W-code reference lists the leveled families with both rates side by side.
Fifteen minutes, your state’s codes on screen — or start the trial and poke around on your own.