Introduction

NCCI’s Under the Microscope: Medical Trends in Comp presentation introduces an analytic method to deconstruct changes in medical utilization over time into contributions from changes in injury mix and medical treatment for physician services. The Under the Microscope: Medical Trends in Comp Guide provides a slide-by-slide examination of the key insights, data sources, and background underlying the presentation.

As you review the information contained in this Guide, it may be useful to keep in mind the following main takeaways that NCCI’s Under the Microscope: Medical Trends in Comp presentation highlighted:

  • NCCI introduces an analytic method to deconstruct changes in medical utilization over time into contributions from changes in injury mix and medical treatment for physician services.
  • NCCI’s analysis shows that the mix of worker injuries has changed in the past 10 years. The shares of shoulder, leg, and foot claims have increased while the share of back and neck claims has decreased.
  • During the past decade, increased utilization of physician services per claim is largely driven by increased utilization of physical therapy, more than offsetting a reduction in surgery rates.
  • The overall utilization of physician services per claim increased 8% during the past decade, making up about half of the 17% increase in paid cost per claim for physician services in workers compensation.

We hope you find the Under the Microscope: Medical Trends in Comp Guide a beneficial and informative resource.

Utilization Deconstructed

Utilization Drivers

Key Insights

  • The analysis is based on dividing the factors driving utilization into two broad classes: injury mix and medical treatment.
  • Injury mix consists of body system and diagnosis.
  • Medical treatment consists of surgery rate and medical service intensity.

Background

  • Diagnosis refers to the type of injury. For any given body system, certain diagnoses are inherently more severe than others. For example, fractures and ligament tears often require more medical treatment than sprains and strains.
  • Surgery rate refers to the probability, or frequency, of major surgery for a given diagnosis. A reduction (or an increase) in surgery rates significantly affects medical utilization per claim.
  • Medical service intensity refers to the collection and type of physician services applied on average for a claim given its diagnosis and the choice to have major surgery or not.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Contributions to Utilzation

Key Insights

  • Over the 10 years from 2012 to 2022, the dominant contributions are via the two components of medical treatment: medical service intensity and surgery rate.
  • Medical service intensity per claim contributed 12%. It is only partially offset by a –3% contribution to utilization per claim from lower surgery rates.
  • The contribution from injury mix—the orange bars for body system and diagnosis together—nets to –2%, with the two factors pulling in different directions.
  • The increased utilization per claim is mainly the result of more intensive medical treatment, outweighing the contribution effect of lower surgery rates given the diagnosis.
  • Contributions to the change in utilization per claim in the pre-COVID years from 2012 to 2019 parallel the pattern for the full decade. But the 2020 COVID year looks different.

Background

The chart shows this deconstruction for the total period and then for each of the subperiods. The stacked bars express the total change in utilization of physician services as the sum of contributions via the four factors: body system, diagnosis, major surgery, and medical service intensity.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Medical Service Intensity

Key Insights

  • Medical service intensity as the biggest single contributor to increased utilization per claim of physician services over the past 10 years.
  • Alone, the increase in medical service intensity would have driven up utilization per claim by 12%.

Background

The chart shows the medical service intensity change for the indicated periods.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Physical Therapy

Key Insights

  • Physical therapy drives medical service intensity – especially for claims without surgery.
  • Increased utilization of physical therapy drove the increase in medical service intensity for the 10 years from 2012-2022, as well as for the pre- and post-COVID subperiods.
  • A positive utilization contribution from more physical therapy is evident in claims with major surgery, but the contribution is especially strong in claims without major surgery

Background

NCCI deconstructed the contribution via medical service intensity into contributions from specific medical services: physical therapy for claims with no major surgery, physical therapy for claims with major surgery, and all other physician services. The chart shows the contribution analysis for the indicated periods.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Body Systems

Distribution and Contribution

Key Insights

  • Three major body systems—back/neck, shoulder, and leg (includes leg, knee, ankle, and foot) account for nearly 60% of injuries in 2022.
  • Shoulder injuries are 14% of claims. Shoulder injuries have put upward pressure on utilization.
  • Leg injuries are 25% of claims. Leg injuries have put upward pressure on utilization.
  • Back and neck injuries are 19% of claims. Back and neck injuries have put downward pressure on utilization.

Background

The chart shows the share of claims for each of the body systems, and the contribution of each body system to the physician service utilization over the period 2012–2022.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Utilization per Shoulder Claim

Key Insights

  • Shoulder claims have above average utilization.
  • Diagnosis mix is down, but surgery and medical service intensity are up, resulting in an overall +6% increase in utilization of physician services per shoulder claim.
  • Given diagnosis, the frequency of surgery increased slightly.
  • Physical therapy rose, especially in claims without major surgery.
  • There is a shift in diagnosis mix, which means shoulder injuries have become less severe.

Background

The chart shows the contribution of change in diagnosis, frequency of major surgery given diagnosis, and the change in physical therapy to the change in utilization for shoulder claims. In terms of shoulder injuries, workers most commonly experience strains and sprains (which tend to be relatively minor) and rotator cuff tears (more severe and more likely to require surgery).

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Shoulder Share

Key Insights

  • Shoulder claims share increased from 12% in 2012 to 14% in 2022.
  • This increase in claim share pushed up physician utilization per workers comp claim by 4%.

Background

This chart shows the contribution of the change in the share of shoulders to overall physician service utilization per claim.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Shoulder Contribution

Key Insights

  • Shoulder injuries contributed 6% to the overall increase of physician utilization per workers comp claim.
  • More shoulder claims pushed up utilization of physician services by 4% and this is offset by claims with less-severe diagnoses.
  • Given the diagnosis shift, major surgery rate among shoulder claims went up slightly.
  • Physical therapy is the major contributor to the increase in medical service intensity.

Background

This chart deconstructs the contribution of changes in shoulder injuries to overall physician service utilization per claim.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Utilization per Leg Claim

Key Insights

  • Physician service utilization per leg claim increased by 13% over the last decade.
  • The biggest contributor is the increase in medical service intensity, which alone would have pushed up utilization per leg claim by 20%.
  • This increase in medical service intensity is mostly due to physical therapy, especially in claims without major surgery.
  • The increase in medical service intensity is partially offset by a negative contribution via reduction in major surgery rates, as well as a trend toward less-severe diagnoses.

Background

The chart shows the contribution of change in diagnosis, frequency of major surgery given diagnosis, and the change in physical therapy to the overall change in utilization for leg claims. Leg injuries encompass a wide range of diagnoses. Sprains and strains are most common and less severe; fractures and ligament tears are less common but more severe.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Leg Share

Key Insights

  • Leg claim share is up from 21% in 2012 to 25% in 2022.
  • More leg claims contributed 3% to the increase in physician utilization per workers comp claim.

Background

This chart shows the contribution of the change in the share of legs to overall physician service utilization per claim.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Leg Contribution

Key Insights

  • The two main drivers for leg injuries are a larger share of injuries coming from this body system, and more intensity of medical treatment per claim, predominantly more physical therapy.

  • Leg injuries contributed +6% to changed utilization of physician services from 2012 to 2022. That’s virtually identical to the contribution from Shoulder injuries.

Background

This chart deconstructs the contribution of changes in leg injuries to overall physician service utilization per WC claim.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Utilization per Back and Neck Claim

Key Insights

  • Given back/neck diagnosis, there is a reduction in surgery for injuries such as disc disorders.
  • The surgery rate for back/neck is down, but diagnosis mix and medical service intensity are up, resulting in an overall +1% increase in utilization of physician services per back/neck claim.
  • Less complex imaging and fewer minor surgeries, such as injections, offset the large increases in medical service intensity that physical therapy drives. This results in a more modest increase in medical service intensity.

Background

The chart shows the contribution of change in diagnosis, frequency of major surgery given diagnosis, and the change in physical therapy to the overall change in utilization for back/neck claims.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Back and Neck Share

Key Insights

  • Back/neck injury share is down from 24% in 2012 to 19% in 2022.
  • This decrease contributes –6% to physician utilization per workers comp claim.
  • Fewer back/neck claims pushed down utilization of physician services per workers comp claim.

Background

This chart shows the contribution of the change in the share of back/neck claims to overall physician service utilization per claim.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Back and Neck Contribution

Key Insights

  • The decrease in claim share is the biggest driver of physician utilization changes from the back and neck injuries.

  • For medical treatment, a small decrease in the surgery rate is offset by a small increase in service intensity.

Background

This chart deconstructs the contribution of changes in back and neck injuries to overall physician service utilization per claim.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Body Systems Summary

Key Insights

  • The three body systems—shoulder, leg, and back and neck—contributed a significant share of the change in physician service utilization per claim over the past decade.
  • Today we see more shoulder and leg injuries and fewer back and neck injuries.
  • Diagnosis mix is changing. This is especially true for shoulder injuries. Shoulder injuries are more frequent, but they are more likely to be sprains and strains, and less often tears.
  • Medical service intensity per claim is going up across the board. Physical therapy drives this – especially in claims without major surgery.
  • Negative contributions from reduced rates of major surgery partially offset the increase in medical service intensity. The contribution to utilization per claim from fewer surgeries is conditional on diagnosis.

Background

This chart summarizes the decomposition of physician service utilization into its components.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Conclusion

Injury Mix

Key Insights

  • Body system shift contributes to +1% increase in physician service utilization per claim.
  • Diagnosis changes contribute –3% to the change in physician service utilization per claim.
  • In the past decade, substantial shifts in the share of claims toward more shoulder and leg injuries and fewer back and neck injuries, produced offsetting contribution effects that net out to +1% utilization increase per workers comp claim.
  • There is a trend toward less severe diagnoses—more sprains and strains, fewer tissue tears—especially for shoulder injuries. Overall, diagnosis changes contribute –3% to the change in physician service utilization per workers comp claim from 2012 to 2022.

Background

This chart describes the injury mix contribution to utilization.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Medical Treatment

Key Insights

  • Increases in medical service intensity alone contributed +12% to the change in physician service utilization per claim.
  • This substantial contribution via medical service intensity is only somewhat offset by a –3% contribution via reduced rates of major surgery.

Background

This chart deconstructs the medical treatment contribution to utilization.

Data

Source: NCCI’s Medical Data Call (MDC)

  • Countrywide includes AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.
  • Physician services provided during calendar years 2012 to 2022.
  • Injuries in the most common body systems and diagnoses (see Appendix).
  • Met data quality standards such as valid units of treatments and available relative value units from Centers for Medicare and Medicaid Services (CMS).
  • Based on data availability, 2022 results are preliminary.

Appendix–Diagnosis Groups and Body Systems

Diagnosis Group Body System Examples
Nerve Injury Upper Extremity Arm Lesion of radial nerve, unspecified upper limb (G56.3)
Lesion of ulnar nerve (G56.2)
Carpal Tunnel Syndrome Hand/Wrist Carpal tunnel syndrome (G56.0)
Carpal tunnel syndrome, bilateral upper limbs (G56.03)
Hand/Wrist Fracture Hand/Wrist Displaced fracture of distal phalanx of finger (S62.63)
Fracture of hook process of hamate [unciform] bone (S62.15)
Minor Arm Injury Arm Other superficial injuries of forearm (S50.8)
Injury of other extensor muscle, fascia and tendon at forearm level (S56.5)
Cervical Spine Degeneration Neck Spinal stenosis, occipito-atlanto-axial region (M48.01)
Spondylolysis, occipito-atlanto-axial region ( M43.01)
Elbow Forearm Fracture Arm Fracture of upper end of ulna (S52.0)
Fracture of shaft of radius (S52.3)
Lumbosacral Intervertebral Disc Disorders Lumbar Spine Intervertebral disc disorders with myelopathy, lumbar region (M51.06)
Other thoracic, thoracolumbar and lumbosacral intervertebral disc displacement (M51.2)
Low Back Pain Lumbar Spine Sacroiliitis, not elsewhere classified (M46.1)
Contusion of lower back and pelvis (S30.0)
Lumbar Radiculopathy/Sciatica Lumbar Spine Sciatica (M54.3)
Lumbosacral root disorders, not elsewhere classified (G54.4)
Ankle Fracture Ankle/Foot Fracture of lateral malleolus (S82.6)
Nondisplaced fracture of medial malleolus of unspecified tibia (S82.56)
Neck Pain Neck Dislocation and sprain of joints and ligaments at neck level (S13)
Superficial injury of other specified parts of neck (S10.8)
Cervical Disc Disorders Neck Cervical disc disorder with radiculopathy (M50.1)
Cervical disc disorder, unspecified (M50.9)
Crush Injury, Hand/Wrist Hand/Wrist Crushing injury of other and unspecified finger(s) (S67.1)
Crushing injury of left hand (S67.22)
Adhesive Capsulitis, Shoulder Shoulder Adhesive capsulitis of shoulder (M75.0)
Adhesive capsulitis of left shoulder (M75.02)
Eye Injury Minor Eye Injury of conjunctiva and corneal abrasion without foreign body (S05.0)
Injury of conjunctiva and corneal abrasion without foreign body, right eye (S05.01)
Other disorders of eye and adnexa Eye Other disorders of eye and adnexa (H57)
Miosis (H57.03 )
Conjunctivitis Eye Conjunctivitis (H10)
Chronic conjunctivitis (H10.4)
Head Injury Minor Head Superficial injury of head (S00)
Superficial injury of lip and oral cavity (S00.5)
Shoulder Impingement Syndrome Shoulder Impingement syndrome of shoulder (M75.4)
Impingement syndrome of right shoulder (M75.41)
Minor Hip Injuries Hip/Pelvis Pain in hip (M25.55)
Blister (nonthermal) of hip (S70.2)
Concussion/Minor Traumatic Brain Injury Head Concussion (S06.0)
Concussion with loss of consciousness of unspecified duration (S06.0X9)
Open wound of knee and lower leg Leg Open wound of lower leg (S81.8)
Laceration without foreign body, left lower leg (S81.812)
Open wound of ankle, foot and toes Ankle/Foot Open wound of toe with damage to nail (S91.2)
Laceration without foreign body of ankle (S91.01)
Knee and Lower Leg Injuries Leg Fracture of shaft of tibia (S82.2)
Oblique fracture of shaft of fibula (S82.43)
Synovitis/Tenosynovitis, Hand/Wrist Hand/Wrist Crepitant synovitis (acute) (chronic) of hand and wrist (M70.0 )
Radial styloid tenosynovitis (M65.4)
Traumatic Amputation, Hand/Wrist Hand/Wrist Partial traumatic transphalangeal amputation of other and unspecified finger (S68.62) Traumatic amputation of wrist, hand and fingers (S68)
Lumbar Spine Degeneration Lumbar Spine Spondylolysis, lumbosacral region (M43.07)
Congenital spondylolisthesis (Q76.2)
Minor Shoulder Injury Shoulder Contusion of shoulder (S40.01)
Contusion of left shoulder (S40.012)
Arm Fracture Arm Fracture of lower end of radius (S52.5)
Fracture of radial styloid process (S52.51)
Inguinal Hernia Abdomen Inguinal hernia (K40)
Bilateral inguinal hernia, with gangrene, recurrent (K40.11)
Open wound of elbow and forearm Arm Open wound of elbow and forearm (S51)
Open wound of forearm (S51.8)
Degenerative Shoulder Shoulder Loose body in shoulder (M24.01)
Post-traumatic osteoarthritis, shoulder (M19.11)
Minor Lower Leg Injury Leg Blister (nonthermal) of lower leg (S80.82)
Other specified injuries of left lower leg (S89.82)
SLAP Lesion Shoulder Superior glenoid labrum lesion (S43.43)
Minor Elbow Injury Elbow Contusion of elbow (S50.0)
Olecranon bursitis, unspecified elbow (M70.20)
Cervical Radiculopathy/Myelopathy Neck Other spondylosis with myelopathy, occipito-atlanto-axial region (M47.11)
Cervical root disorders, not elsewhere classified (G54.2)
Upper Back Pain Chest/Upper Torso Sprain of ligaments of thoracic spine (S23.3)
Sprain of ligaments of thoracic spine, initial encounter (S23.3XXA)
Knee Internal Derangement - Cruciate Ligament Tear Knee Sprain of cruciate ligament of knee (S83.5)
Sprain of posterior cruciate ligament of right knee (S83.521 )
Rotator Cuff Tear Shoulder Shoulder lesions (M75)
Other shoulder lesions (M75.8)
Shoulder Upper Humerus Fracture Shoulder Fracture of scapula (S42.1)
Fracture of other part of scapula (S42.19)
Lower Extremity Sprain/Strain Leg Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level (S86.2)
Other injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg ( S86.292)
Head/Face Wound Head Open wound of unspecified part of head (S01.9)
Laceration without foreign body of unspecified part of head, initial encounter (S01.91XA)
Head Injury NOC Head Other and unspecified injuries of head (S09)
Unspecified injury of face and head (S09.9)
Dorsalgia Lumbar Spine Dorsalgia (M54)
Radiculopathy (M54.1)
Minor Ankle/Foot Injuries Ankle/Foot Superficial injury of ankle, foot and toes (S90)
Contusion of foot (S90.3)
Knee Internal Derangement - Meniscus Injury Knee Tear of meniscus, current injury (S83.2)
Bucket-handle tear of medial meniscus, current injury (S83.21)
Bicipital Tendinitis Shoulder Bicipital tendinitis (M75.2)
Bicipital tendinitis, unspecified shoulder (M75.20 )
Muscle/Tendon Injury, Hand/Wrist Hand/Wrist Injury of unspecified muscle, fascia and tendon at wrist and hand level (S66.9) Strain of unspecified muscle, fascia and tendon at wrist and hand level (S66.91)
Hip/Pelvis Fracture/Major Trauma Leg Fracture of lesser trochanter of femur (S72.12)
Displaced fracture of lesser trochanter of left femur (S72.122 )
Minor Knee Injury Knee Sprain of collateral ligament of knee (S83.4)
Sprain of unspecified collateral ligament of unspecified knee (S83.409)
Minor Hand/Wrist Injuries Hand/Wrist Other and unspecified sprain of wrist (S63.5)
Sprain of carpal (joint) (S63.51)
Dislocation and sprain of joints and ligaments of thorax Chest/Upper Torso Dislocation and sprain of joints and ligaments of thorax (S23)
Subluxation and dislocation of thoracic vertebra (S23.1)
Elbow Epicondylitis Elbow Medial epicondylitis (M77.0)
Medial epicondylitis, right elbow (M77.01)
Knee Degenerative/Overuse Injuries Knee Chondromalacia patellae (M22.4)
Chondromalacia, knee (M94.26)
Minor Thigh Injuries Leg Contusion of thigh (S70.1)
Strain of quadriceps muscle, fascia and tendon (S76.11)
Heel/Midfoot Fracture Ankle/Foot Intraarticular fracture of calcaneus (S92.06)
Fracture of calcaneus (S92.0)
Foreign body on external eye Eye Foreign body on external eye (T15)
Foreign body in conjunctival sac (T15.1)