Texas Administrative Code
Title 28 - INSURANCE
Part 2 - TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
Chapter 42 - MEDICAL BENEFITS
Subchapter A - GENERAL MEDICAL PROVISIONS
Section 42.35 - Required Reports: First Report
Universal Citation: 28 TX Admin Code ยง 42.35
Current through Reg. 49, No. 38; September 20, 2024
(a) The treating doctor shall make an initial report, and submit it to the carrier and the injured worker, or his or her representative, as provided in § 42.30 of this title (relating to Written Communications) no later than seven working days after the injured worker's first visit.
(b) The first report shall contain the following information:
(1) all identifying
information required by §
42.30(d)
of this title (relating to Written Communications);
(2) complete history, as related by the
claimant, of the occupational accident or illness;
(3) complete listing of positive physical
findings;
(4) specific diagnosis
with appropriate procedural and diagnostic code(s) and narrative definition(s)
relating to the injury;
(5) type of
treatment rendered;
(6) anticipated
date the worker may achieve maximum medical recovery, if possible;
and
(7) anticipated date of release
to return to work, if possible.
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