CompFox AI Summary
The Workers' Compensation Appeals Board (WCAB) granted reconsideration and reversed a prior ruling regarding an epidural steroid injection (ESI). The WCAB found that the defendant's initial authorization for an ESI at the C6-C7 level was not superseded by a subsequent request for a more extensive ESI by a new treating physician. The Board determined there was no documented change in the applicant's medical condition to justify further utilization review of the previously authorized C6-C7 ESI. Therefore, the defendant remains obligated to provide the C6-C7 ESI without additional utilization review.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board (WCAB) granted reconsideration and reversed a prior ruling regarding an epidural steroid injection (ESI). The WCAB found that the defendant's initial authorization for an ESI at the C6-C7 level was not superseded by a subsequent request for a more extensive ESI by a new treating physician. The Board determined there was no documented change in the applicant's medical condition to justify further utilization review of the previously authorized C6-C7 ESI. Therefore, the defendant remains obligated to provide the C6-C7 ESI without additional utilization review.
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