8159f15d_12__Impairment_Rating_Services__Description
[Local billing code] 1194M [Maximum fee] $501.49 [Description] 
Impairment rating by consultant, standard, 1-3 body areas or organ systems. Use this code if there are 1-3 body areas or organ systems that need to be examined for sufficient evaluation of the accepted condition(s). Included in this code are the following requirements: Records are reviewed. Physical exam is directed only toward the affected areas or organ systems of the body. Diagnostic tests needed are ordered and interpreted. Impairment rating is performed as requested. Impairment rating report must contain the required elements noted in the Medical Examiners’ Handbook . The report conclusions address how the examined body areas or organ systems relate to the accepted or contended work rerlated injury(s) or conditions(s). Office visits are considered a bundled service and are included in the impairment rating fee. Definitions of organ systems and body areas can be found in the CPT® manual.
MARFS – Chapter 12: Impairment Rating Services
Description