California Regulations 49 55

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§ Article 4.5 - Minimum Time Guidelines - Definitions. The following definitions apply to this Article:



(a) Cardiovascular evaluation. 'Cardiovascular evaluation' means the determination of disabilitydue to pathological changes of the heart and/or the central circulatory system.

(b) Face to Face time. 'Face to face time' means only that time the evaluator is present with an injured worker. This includes the time in which the evaluator performs suchtasks as taking a history, performing a physical examination or discussing the worker's medicalcondition with the worker. Face to face time excludes time spent on research, records review andreport writing. Any time spent in performance of diagnostic or laboratory tests (such as blood testsor x- rays) or time spent by the injured worker in a waiting room or other area ouside the evaluation room is not included in face to face time.

(c) Medical evaluation. 'Medical evaluation' means a comprehensive medical-legal evaluation asdefined under section 9793 of Article 5.6, Subchapter 1, Chapter 4.5 of this Title.

(d) Neuromusculoskeletal evaluation. 'Neuromusculoskeletal evaluation' means thedetermination of disability due to injury to the central nervous systems, the spine and extremities,and the various muscle groups of the body.

(e) Psychiatric evaluation. 'Psychiatric evaluation' means the determination, by either apsychiatrist or psychologist following the IMC guidelines on psychiatric protocols, of disability dueto psychopathology.

(f) Pulmonary evaluation. 'Pulmonary evaluation' means the determination of disability due topathological changes of the lungs and/or other components of the respiratory system.

(g) QME. 'QME' means Qualified Medical Evaluator appointed by the Council pursuant to LaborCode section 139.2.

(h) Uncomplicated evaluation. 'Uncomplicated evaluation' means a face to face evaluation inwhich all of the following are recorded in the medical report: Minimal or no review of records,minimal or no diagnostic studies or laboratory testing, minimal or no research, and minimal or nomedical history taking.

History: Amendment to subsection (b) effective 5/14/00.

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