Top 15 Diagnoses

Return-To-Work Guidelines

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1. Back strains
2. Disc disorders
3. Whiplash
4. Shoulder sprains
5. Depression
6. Ankle sprains
7. Arthritis
8. Carpal tunnel syndrome
9. Hernia
10. Meniscus tears

11. Chronic pain

12. Bruises

13. Broken arm

14. Pregnancy

15. H1N1 Flu

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Top 6 Chapters 

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1. Low back
2. Knee
3. Shoulder

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State Guidelines 

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1. All states

2. Colorado

3. New York

ODG Treatment

Background & Description

 Explanation of Medical Literature Ratings (updated 04/22/13)

Ankle & Foot (updated 12/19/13)

Burns (updated 09/05/13)

Carpal Tunnel Syndrome (updated 05/07/13)

Diabetes (updated 09/05/13)

Elbow (updated 05/07/13)

Eye (updated 03/19/13)

Fitness for Duty (updated 11/12/13)

Forearm, Wrist, & Hand (updated 05/08/13)

Head (updated 11/18/13)

Hernia (updated 07/08/13)

Hip & Pelvis (updated 12/09/13)

Infectious Diseases (updated 06/28/13)

Knee & Leg (updated 11/29/13)

Low Back (updated 12/27/13)

Mental Illness & Stress (updated 11/18/13)

Neck & Upper Back (updated 12/16/13)

Pain (updated 11/14/13)

Pulmonary (updated 10/29/13)

Shoulder (updated 12/27/13)

Appendix A, ODG Workers’ Compensation Drug Formulary (updated 12/31/13)

Appendix B, Methodology Description using the AGREE Instrument

Appendix C, Patient Information Resources

Appendix D, Documenting Exceptions to the Guidelines

 

 

 

Top 15 Procedures

Medical Treatment Guidelines

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1. Discectomy
2. Physical therapy 
3. Manipulation
4. Spinal fusion
5. Knee replacement
6. Hip replacement
7. Rotator cuff repair
8. Meniscectomy
9. Carpal tunnel release
10. Hernia repair

11. Medications

12. Injections

13. Opioids

14. PTSD

15. CRPS

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Top 6  (cont'd)

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4. Pain
5. Neck
6. Hand

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UR Tools 

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1. CPT Code UR Advisor

2. NDC Codes for Automated Approval

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