Index to Diseases (FY04)

Specific diagnosis with ICD-9-CM code(s) and narrative definition relating to the injury. 4. Type of treatment rendered. 5. Known medical, emotional or social conditions which may influence recovery or cause complications. 6. Estimated time loss due to the injury. d. To the extent the information called for in (c)(1) – (c)(6) is not required ... ................
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