Workers' compensation -- Treatment parameters
Table of contents
5221.6020 Purpose and application
Subpart 1. Purpose
Subp. 2. Application
5221.6030 Incorporate by reference
Subpart 1. Scope
Subp. 2. Active treatment
Subp. 3. Chronic pain syndrome
Subp. 4. Condition
Subp. 5. Emergency treatment
Subp. 6. Etiology
Subp. 7. Functional status
Subp. 8. Initial nonsurgical management or treatment
Subp. 8a. Medical contraindication
Subp. 9. Medical imaging procedures
Subp. 10. Medically necessary treatment
Subp. 11. Neurologic deficit
Subp. 12. Passive treatment
Subp. 13. Therapeutic injection
5221.6050 General treatment parameters; excessive treatment; prior notification
Subpart 1. General
Subp. 2. Documentation
Subp. 3. Nonoperative treatment
Subp. 4. Chemical dependency
Subp. 5. Referrals between health care providers
Subp. 6. Communication between health care providers and consideration of prior care
Subp. 7. Determinations of excessive treatment; notice of denial to health care providers and employee; expedited processing of medical requests
Subp. 8. Departure from parameters
Subp. 9. Prior notification; health care provider and insurer responsibilities
Subp. 10. Certified managed care plans
Subp. 11. Outcome studies
Subpart 1. Scope
Subp. 2. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Subp. 3. Opiod analgesics
Subp. 4. Muscle relaxants
5221.6100 Parameters for medical imaging
Subpart 1. General principles
Subp. 2. Specific imaging procedures for low back pain
Subpart 1. Diagnostic procedures for treatment of low back injury
Subp. 2. General treatment parameters for low back pain
Subp. 3. Passive treatment modalities
Subp. 4. Active treatment modalities
Subp. 5. Therapeutic injections
Subp. 6. Surgery, including decompression procedures and arthrodesis
Subp. 7. Chronic management
Subp. 8. Durable medical equipment
Subp. 9. Evaluation of treatment by health care provider
Subp. 10. Scheduled and nonscheduled medication
Subp. 11. Specific treatment parameters for regional low back pain
Subp. 12. Specific treatment parameters for radicular pain, with or without regional low back pain, with no or static neurologic deficits
Subp. 13. Specific treatment parameters for cauda equina syndrome and for radicular pain, with or without regional low back pain, with progressive neurologic deficits
Subpart 1. Diagnostic procedures for treatment of neck injury
Subp. 2. General treatment parameters for neck pain
Subp. 3. Passive treatment modalities
Subp. 4. Active treatment modalities
Subp. 5. Therapeutic injections
Subp. 6. Surgery, including decompression procedures and arthrodesis
Subp. 7. Chronic management
Subp. 8. Durable medical equipment
Subp. 9. Evaluation of treatment by health care provider
Subp. 10. Scheduled and nonscheduled medication
Subp. 11. Specific treatment parameters for regional neck pain
Subp. 12. Specific treatment parameters for radicular pain, with or without regional neck pain, with no or static neurologic deficits
Subp. 13. Specific treatment parameters for radicular pain, with or without regional neck pain, with progressive neurologic deficits
Subp. 14. Specific treatment parameters for myelopathy
Subpart 1. Diagnostic procedures for treatment of thoracic back injury
Subp. 2. General treatment parameters for thoracic back pain
Subp. 3. Passive treatment modalities
Subp. 4. Active treatment modalities
Subp. 5. Therapeutic injections
Subp. 6. Surgery, including decompression procedures
Subp. 7. Chronic management
Subp. 8. Durable medical equipment
Subp. 9. Evaluation of treatment by health care provider
Subp. 10. Scheduled and nonscheduled medication
Subp. 11. Specific treatment parameters for regional thoracic back pain
Subp. 12. Specific treatment parameters for radicular pain
Subp. 13. Specific treatment parameters for myelopathy
5221.6300 Upper extremity disorders
Subpart 1. Diagnostic procedures for treatment of upper extremity disorders (UED)
Subp. 2. General treatment parameters for upper extremity disorders
Subp. 3. Passive treatment modalities
Subp. 4. Active treatment modalities
Subp. 5. Therapeutic injections
Subp. 6. Surgery
Subp. 7. Chronic management
Subp. 8. Durable medical equipment
Subp. 9. Evaluation of treatment by health care provider
Subp. 10. Scheduled and nonscheduled medication
Subp. 11. Specific treatment parameters for epicondylitis
Subp. 12. Specific treatment parameters for tendonitis of forearm, wrist, and hand
Subp. 13. Specific treatment parameters for nerve entrapment syndromes
Subp. 14. Specific treatment parameters for muscle pain syndromes
Subp. 15. Specific treatment parameters for shoulder impingement syndromes
Subp. 16. Specific treatment parameters for traumatic sprains and strains of the upper extremity
Subpart 1. Scope
Subp. 2. Initial nonsurgical management
Subp. 3. Surgery
Subp. 4. Chronic management
5221.6400 Inpatient hospitalization parameters
Subpart 1. General principles
Subp. 2. Specific requirements for hospital admission of patients with low back pain
5221.6500 Parameters for surgical procedures
Subpart 1. Scope
Subp. 2. Spinal surgery
Subp. 3. Upper extremity surgery
Subp. 4. Lower extremity surgery
Subpart 1. Scope
Subp. 2. Chronic management modalities
5221.8900 Disciplinary action; penalties
Subpart 1. Discipline
Subp. 2. Complaints
Subp. 3. Review and investigation
Subp. 4. Cooperation with disciplinary proceedings
Subp. 5. In-person meeting
Subp. 6. Resolution by instruction or written agreement
Subp. 7. Inappropriate, unnecessary, or excessive treatment
Subp. 8. Violations of statutes and rules other than those involving inappropriate, unnecessary, or excessive treatment
Subp. 9. Penalties
and workers
