COURT OF APPEALS OF VIRGINIA Present: Judges Benton, Willis and Annunziata Argued at Richmond, Virginia LOIS KAY GRAY OPINION BY v. Record No. 0982-97-2 JUDGE JAMES W. BENTON, JR. JANUARY 20, 1998 GRAVES MOUNTAIN LODGE, INC. AND AMERICAN EMPLOYER'S INSURANCE COMPANY/COMMERCIAL UNION INSURANCE COMPANY FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION C. Waverly Parker for appellant. Daniel E. Lynch (Vasiliki Moudilos; Williams & Lynch, on brief), for appellees. In this case, we hold that a chiropractor is not a "physician" for purposes of designation to a panel of physicians pursuant to Code  65.2-603(A)(1) of the Workers' Compensation Act. For this reason, we reverse the commission's ruling. I. Lois K. Gray suffered injuries to her neck, back and hip when she fell on concrete steps while employed by Graves Mountain Lodge, Inc. When Gray's claim for benefits was pending before the commission, the commission ordered the employer to "provide to [Gray] a panel of three or more physicians who have reviewed the medical records in this case, who are qualified to treat [Gray's] injuries, including the anatomical parts involved, and who are willing to examine [Gray] with the expectation of rendering continuing medical treatment to [Gray] as her authorized treating physician." After Gray filed an application for enforcement of the commission's order, the employer proffered a panel, consisting of two medical doctors and one chiropractor. Asserting that a chiropractor is not a physician within the meaning of Code  65.2-603(A), Gray requested that her application for enforcement of the order be put on the hearing docket. The parties agreed that this issue was a question of law and requested the commission to decide the issue without an evidentiary hearing. After both parties submitted written statements outlining their respective positions, the deputy commissioner ruled that "[d]ue to the longstanding policy approving chiropractors as treating physicians, we find that chiropractors are appropriate health care providers to be included on a panel of physicians pursuant to Code  65.2-603(A), and that a chiropractor is a 'physician' as contemplated by that section." On review, the commission upheld that ruling and stated the following: [T]he Commission has consistently held that a chiropractor is a proper attending physician when appropriately selected by a claimant. Additionally, the Commission has approved a chiropractor as the attending physician when selected from a panel provided by the employer. The Commission is, of course, well aware that chiropractors are not licensed medical doctors and that chiropractors are not qualified to treat all injuries. Nevertheless, the Commission finds that chiropractors are health care providers appropriately included on a panel of physicians pursuant to Va. Code Ann.  65.2-603(A). The claimant is not required to chose [sic] the chiropractor, but his inclusion on the panel does not render the panel improper. (Citations omitted). Gray appeals from that ruling. II. The Act requires employers to furnish to injured employees a panel of physicians. In pertinent part, Code  65.2-603(A)(1) provides as follows: As long as necessary after an accident, the employer shall furnish or cause to be furnished, free of charge to the injured employee, a physician chosen by the injured employee from a panel of at least three physicians selected by the employer and such other necessary medical attention. (Emphasis added). Code  65.2-603(D) contains the following explanation: As used in this section and in  65.2-604, the terms "medical attention," "medical service," "medical care," and "medical report" shall be deemed to include chiropractic service or treatment and, where appropriate, a chiropractic treatment report. Gray argues that subsections (A) and (D) of Code  65.2-603, read together, manifestly declare that a chiropractor is not a physician under the Act. In contrast, the employer argues that by including chiropractic service within the ambit of "medical attention" in Code  65.2-603 and 65.2-604, the legislature has recognized chiropractors as physicians and that the commission correctly ruled that chiropractors are "health care providers" appropriately included on a panel of physicians. The commission's construction of the act is entitled to great weight on appeal. See Bohle ex rel. Majette v. Henrico County Sch. Bd., 246 Va. 30, 35, 431 S.E.2d 36, 39 (1993). However, the principle is well established that "'[a]n erroneous construction by those charged with its administration cannot be permitted to override the clear mandates of a statute.'" Hurt v. Caldwell, 222 Va. 91, 97, 279 S.E.2d 138, 142 (1981) (quoting City of Richmond v. County of Henrico, 185 Va. 176, 189, 37 S.E.2d 873, 879 (1946)). "When an agency's statutory interpretation conflicts with the language of the statute . . . , the usual deference accorded to an agency's interpretation should be withheld." Commonwealth Dep't of Mines, Minerals & Energy v. May Bros., Inc., 11 Va. App. 115, 119, 396 S.E.2d 695, 697 (1990); see also Cox v. Oakwood Mining, Inc., 16 Va. App. 965, 969, 434 S.E.2d 904, 907 (1993). Code  65.2-603(A)(1) provides that an employer must furnish to the injured employee "a physician chosen by the injured employee from a panel of at least three physicians . . . and such other necessary medical attention." (Emphasis added). That same obligation existed in 1982 under Code  65.1-88, the predecessor to Code  65.2-603. However, in 1982, the General Assembly modified Code  65.1-88 to add language that further defined "medical attention." The legislature specifically changed the statute to state that "the terms 'medical attention,' 'medical service,' 'medical care,' and 'medical report' shall be deemed to include chiropractic service or treatment." Acts of Assembly 1982, ch. 585. This legislative action clearly establishes that the General Assembly intended to include "chiropractic service or treatment" within the ambit of the broad range of "other necessary medical attention." Nothing in these amendments, however, permits an inference that the General Assembly intended that a chiropractor may be included on a panel of three physicians. Indeed, because the statute was not modified to include the term "chiropractor" within the definition of "physician," the inference is clear that the legislature did not intend that result. "[W]hen analyzing a statute, we must assume that 'the legislature chose, with care, the words it used when it enacted the relevant statute, and we are bound by those words as we interpret the statute.'" City of Virginia Beach v. ESG Enterprises, Inc., 243 Va. 149, 153, 413 S.E.2d 642, 644 (1992) (citation omitted). "We may not add to a statute language which the legislature has chosen not to include." County of Amherst Bd. of Supervisors v. Brockman, 224 Va. 391, 397, 297 S.E.2d 805, 808 (1982). If the legislature had intended the term "physician" to include chiropractors, it could have specifically included language in the 1982 amendment to state that a chiropractor shall be deemed a "physician" within the subsection. We cannot read such language into the statute when the legislature did not include it. See Brockman, 224 Va. at 397, 297 S.E.2d at 808. In reading Code  65.2-603(A)(1) and 65.2-603(D) together, we believe it is clear from the language of the statute that the legislature did not intend the term "physician," as that term is used in Code  65.2-603, to include chiropractors. III. Furthermore, to interpret the term "physician" in Code  65.2-603 to include chiropractors would render the language of Code  65.2-603(D) superfluous and meaningless. Under well-established principles of statutory interpretation, where possible, every word of a statute must be given meaning. See Monument Assocs. v. Arlington County Bd., 242 Va. 145, 149, 408 S.E.2d 889, 891 (1991). If chiropractors were "physicians" within the meaning of Code  65.2-603(A), the language in Code  65.2-603(D) would indeed be superfluous and meaningless because the definition of "physician" would necessarily signify that the attention, services, care and report rendered by a physician, i.e., a chiropractor, would be medical. Code  65.2-603(D) clearly establishes, not that chiropractors are physicians within the meaning of subsection (A), but that chiropractic treatment and service are "deemed" to be "medical attention" even though chiropractors are not "physicians" under Code  65.2-603. We further note that the commission found "that chiropractors are health care providers appropriately included on a panel of physicians pursuant to . . . Code  65.2-603(A)." However, we find no basis to conclude that health care providers are, by definition, "physicians." We also find no basis to conclude that the legislature intended that the panel required by Code  65.2-603(A) could consist of three health care providers, including chiropractors, none of whom were physicians. Such a result necessarily flows from the commission's findings. Because we cannot add language to a statute that the legislature did not include, and we cannot say that the legislature intended the term "physician" as used in Code  65.2-603(A) to include "chiropractor," we reverse the finding of the commission and remand the case for further proceedings consistent with this opinion. Reversed and remanded.