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TABLE OF CONTENTS

Workers' Compensation Rules of Procedure
with Medical Treatment Guidelines

The Secretary of State compiles and publishes the administrative rules of the executive agencies of the state of Colorado in the Code of Colorado Regulations. Notices of rulemaking, proposed rules, new and amended rules, and Attorney General rules opinions are published monthly in the companion publication, the Colorado Register. The official Code and Register published pursuant to § 24-4-103(11), C.R.S., can be accessed from this website. An unofficial version is produced in print and can be purchased from LexisNexis .

Special Instructions for Rule 17 Medical Treatment Guidelines Exhibits 1-10:

 

Rule 17 and the Medical Treatment Guideline Exhibits were revised on September 29, 2005, with an effective date of January 1, 2006. Those revisions were non-substantive changes, i.e. reformatting, renumbering and correcting typographical errors. The 9/29/05 revisions did not include any analysis of medical literature or substantive update of the rules.

 

For ease in viewing and printing, there is rapid navigation within each pdf document by using the links provided within the Table of Contents.  To view a desired section within each exhibit, simply click on the corresponding heading within the Table of Contents.  This will take you to the corresponding page in the pdf document.  To return to the Table of Contents at any time, simply click the button "Return to Table of Contents" in the upper-right corner of each page. 

 

Rule 1 General Definitions and General Provisions PDF Printable
Rule 2 Workers’ Compensation Premium Surcharges PDF Printable
Rule 3 Insurance Coverage PDF Printable
Rule 4 Carrier Compliance PDF Printable
Rule 5 Claims Adjusting Requirements PDF Printable
Rule 6 Modification, Termination or Suspension of Temporary Disability Benefits PDF Printable
Rule 7 Closure of Claims, Approval of Settlement Agreements and Petitions to Reopen PDF Printable
Rule 8 Authorized Treating Physician PDF Printable
Rule 9 Division of Workers’ Compensation Dispute Resolution PDF Printable
Rule 10 Medical Utilization Review PDF Printable
Rule 11 Division Independent Medical Examination PDF Printable
Rule 12 Permanent Impairment Rating Guidelines PDF Printable
Rule 13 Accreditation of Physicians PDF Printable
Rule 14 Applications for Admission and Payment of Benefits from the Major Medical Insurance Fund, the Medical Disaster Fund and Request for Benefits from the Subsequent Injury Fund PDF Printable
Rule 15 Vocational Rehabilitation Rules Applicable to Claims based upon an Injury or Illness Occurring prior to July 2, 1987 at 4:16 p.m. PDF Printable
Rule 16 Utilization Standards PDF Printable
Rule 17 Medical Treatment Guidelines PDF Printable
 

Exhibit 1 - Low Back Pain Medical Treatment Guidelines

PDF Printable
 

Exhibit 2 – Carpal Tunnel Syndrome Medical Treatment Guidelines

PDF Printable
 

Exhibit 3 - Thoracic Outlet Syndrome Medical Treatment Guidelines            

PDF Printable
 

Exhibit 4 – Shoulder Injury Medical Treatment Guidelines            

PDF Printable
 

Exhibit 5 – Cumulative Trauma Disorder Medical Treatment Guidelines

PDF Printable
 

Exhibit 6 – Lower Extremity Medical Treatment Guidelines

PDF Printable
 

Exhibit 7 – Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy Medical Treatment Guidelines

PDF Printable
 

Exhibit 8 – Cervical Spine Injury Medical Treatment Guidelines

PDF Printable
 

Exhibit 9 – Chronic Pain Disorder Medical Treatment Guidelines

PDF Printable
 

Exhibit 10 – Traumatic Brain Injury Medical Treatment Guidelines

PDF Printable
Rule 18 Medical Fee Schedule PDF Printable
  Exhibit 1 - DRGs with Relative Weights, Geometric and Arithmetic Means PDF Printable
  Exhibit 2 - Base Rates and Cost-to-Charge Ratios PDF Printable
  Exhibit 3 - Critical Access Hospitals PDF Printable
  Exhibit 4 - Outpatient Surgery Facility Codes and Fees PDF Printable
  Exhibit 5 - Rural Primary Care Facilities PDF Printable
  Exhibit 6 - Dental Fee Schedule PDF Printable

 

All Applicable Rights Reserved, Copyright 2004 Colorado Department of Labor and Employment