21001-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge determines that Claimant is entitled to caudal epidural steroid injection at the L5/S1 interspace with fluoroscopy […]
20023-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge (ALJ) determines that Claimant is not entitled to TLIF L5-S1 post spinal fusion L5 to S1 […]
20021-nnr
DECISION The health care provider, Dr. SC, appealed the Decision of the Independent Review Organization in Case Number _______. The hearing for this appeal was held on December 8, 2020. For the reasons discussed below, the administrative law judge (ALJ) decides: The claimant is entitled to psychotherapy 45 minutes x 6 sessions for the compensable […]
20022-nnr
DECISION The parties attended a medical contested case hearing on December 8, 2020. For the reasons discussed below, the administrative law judge (ALJ) decides that: The claimant is not entitled to a dorsal column stimulator for the compensable injury of (Date of Injury). ISSUE At the hearing, Early Moye, an ALJ, considered the following unresolved […]
20019-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation (DWC). For the reasons discussed herein, the Administrative Law Judge determines that the preponderance of the evidence is not contrary to the decision of the […]
20018-nnr
DECISION The claimant appealed the decision of the Independent Review Organization in Case Number ________. The hearing for this appeal was held on November 30, 2020. For the reasons discussed below, the administrative law judge decides the claimant is not entitled to magnetic resonance imaging (MRI) for the right knee with out contrast for the […]
20020-nnr
DECISION This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation (DWC). For the reasons discussed herein, the administrative law judge determines that Claimant is not entitled to 10 additional visits/80 units of chronic pain management program for […]
20017-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation (DWC). For the reasons discussed herein, the Administrative Law Judge determines that Claimant is entitled to spinal cord stimulator replacement non rechargeable for the compensable […]
20016-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge (ALJ) determines that Claimant is not entitled to L3-L4 lumbar laminectomy, 23 hours observation. STATEMENT OF […]
20015-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge (ALJ) determines that Claimant is not entitled to the lumbar decompression at L2-3 and L3-4 for […]