ICD-9 Code:



ICD-9 Code: 847.1 Narrative: Thoracic Sprains/Strains

Ohio Specific Disability Outcomes: 30th Percentile 50th Percentile

All Claims including Surgical Cases 2 4

ODG

RTW Guidelines

|Condition Severity |Surgical Procedure |Sedentary Work: < 10 |Clerical/Light Work: < 20 |Manual |Heavy Duty Work: > 50 |

| | |lbs |lbs |Work: ................
................

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