8159f15d_12__Impairment_Rating_Services__Description
[Local billing code] 1190M [Maximum fee] $446.56 [Description] 
Impairment rating by attending physician, limited, 1 body area or organ system. Use this code if there is only 1 body area or organ system that needs to be examined for sufficient evaluation of the accepted condition(s). Included in this code are the following requirements:Familiarity with the history of the industrial injury or condition. Physical exam is directed only toward the affected body area or organ system. 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 . 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