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Rules of Procedure Archives

Notice About Archived Rules for 2024

As of January 1, 2024, archived versions of rules will be stored on Box.com. You may visit the Rules Archive folder on Box.com to view and download copies of the rules. If you have any questions, please email cdle_dowc_communications@state.co.us.

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Rule of Procedure

Effective January 1 of the Calendar Year

  
1: General Definitions and General Provisions2008200920102011201220132014201520162017201820192020202120222023
2: Workers' Compensation Premium Surcharges2008200920102011201220132014201520162017201820192020202120222023
3: Insurance Coverage2008200920102011201220132014201520162017201820192020202120222023
4: Carrier Compliance2008200920102011201220132014201520162017201820192020202120222023
5: Claims Adjusting Requirements2008200920102011201220132014201520162017201820192020202120222023
6: Modification, Termination or Suspension of Temporary Disability Benefits2008200920102011201220132014201520162017201820192020202120222023
7: Closure of Claims, Approval of Settlement Agreements and Petitions to Reopen2008200920102011201220132014201520162017201820192020202120222023
8: Authorized Treating Physician/Independent Medical Examination2008200920102011201220132014201520162017201820192020202120222023
9: Division of Workers' Compensation Dispute Resolution2008200920102011201220132014201520162017201820192020202120222023
10: Medical Utilization Review2008200920102011201220132014201520162017201820192020202120222023
11: Division Independent Medical Examination2008200920102011201220132014201520162017201820192020202120222023
12: Permanent Impairment Rating Guidelines2008200920102011201220132014201520162017201820192020202120222023
13: Accreditation of Physicians2008200920102011201220132014201520162017201820192020202120222023
14: Applications for Admission and Payment of Benefits from the Major Medical Insurance Fund, the Medical Disaster Fund and Request for Benefits from the Subsequent Injury Fund2008200920102011201220132014201520162017201820192020202120222023
15: Vocational Rehabilitation Rules Applicable to Claims based upon an Injury or Illness Occurring prior to July 2, 1987 at 4:16 p.m.2008200920102011201220132014201520162017201820192020202120222023
16:Utilization Standards2008200920102011201220132014201520162017201820192020202120222023
17: Medical Treatment Guidelines Introduction2008200920102011201220132014201520162017201820192020202120222023

Exhibit 1: Low Back Pain (LBP)

2008

2009

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2014201520162017201820192020202120222023

Exhibit 2: Traumatic Brain Injury

2008

2009

2010

N/A

N/A

N/A

N/AN/AN/AN/AN/AN/A2020202120222023

Exhibit 3: Thoracic Outlet Syndrome (TOS)

2008

2009

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2011

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2014201520162017201820192020202120222023

Exhibit 4: Shoulder Injury (SHO)

2008

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2014201520162017201820192020202120222023

Exhibit 5: Cumulative Trauma Conditions (CTC)

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2014201520162017201820192020202120222023

Exhibit 6: Lower Extremity (LXT)

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2014201520162017201820192020202120222023

Exhibit 7: Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy (CRPS/RSD)

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2014201520162017201820192020202120222023

Exhibit 8: Cervical Spine Injury (CSI)

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2014201520162017201820192020202120222023

Exhibit 9: Chronic Pain Disorder (CPD)

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Exhibit 10: Traumatic Brain Injury (TBI) (Moved to Exhibit 2 in 2019)

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201420152016201720182019N/AN/AN/AN/A
18: Medical Fee Schedule2008200920102011201220132014201520162017201820192020202120222023

Exhibit 1: Evaluation and Management (E&M) Guidelines for Colorado Workers' Compensation Claims (as of 1/1/2021)

2008200920102011201220132014201520162017201820192020202120222023

Exhibit 2: Base Rates and Cost-to-Charge Ratios

2008200920102011201220132014201520162017201820192020202120222023

Exhibit 3: Dental Fee Schedule (as of 1/1/2021)

2008200920102011201220132014201520162017201820192020202120222023

Exhibit 4: Outpatient Surgery Facility Codes and Fees

2008200920102011201220132014201520162017201820192020N/AN/A2023

Exhibit 5: Rural Primary Care Facilities

2008200920102011201220132014201520162017201820192020N/AN/AN/A

Exhibit 6: Dental Fee Schedule (Moved to Exhibit 3 in 2021)

2008200920102011201220132014201520162017201820192020N/AN/AN/A

Exhibit 7: Evaluation and Management (E&M) Guidelines for Colorado Workers' Compensation Claims (Moved to Exhibit 1 in 2021)

N/AN/AN/AN/A201220132014201520162017201820192020N/AN/AN/A

Exhibit 8: Pathology Laboratory Maximum Fees

N/AN/AN/AN/AN/AN/AN/AN/A20162017201820192020N/AN/AN/A

Exhibit 9: RVU Values and Division Z-Codes

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A2019N/AN/AN/AN/A
Rule 18 ClarificationsN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A2022N/A
Colorado Uninsured Employer FundN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A20192020202120222023
Premium Cost Containment2008200920102011201220132014201520162017201820192020202120222023
Self Insurance2008200920102011201220132014201520162017201820192020202120222023

 

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