Assistance for Medical Providers

If you are a medical provider treating or diagnosing injured workers involved in a Tennessee workers’ compensation claim, the Bureau of Workers’ Compensation is here to help you!  If an employee gets hurt at work or gets sick from his/her job an employer is expected to immediately notify their insurance carrier or third party administrator (TPA) so that the claim can be processed timely.  Tennessee’s workers’ compensation system requires most employers to pay for the medical treatment needed.  Employees do not have to pay to get workers’ compensation benefits.  It is paid for by the employer.  It does not generally matter whether the accident was the employee’s fault, another worker’s, or the employer’s.  Employees still get the benefits spelled out in Tennessee’s Workers’ Compensation law.

ICD 10 Compliance

 The Bureau is ready to accept both ICD-9 and ICD-10 on October 1, 2015. For the Bureau statistics and registrations, it will not be necessary to convert previous codes on that date. The Bureau is seeking a rule change to require all parties to use ICD-10 exclusively for all dates of service on or after October 1, 2015. The effective date of that rule change is not known at this time. Please refer to the CMS website for guidance on how to proceed with coding for services that are not completed by October 1, 2015. For the protection of patients, providers, employers and insurers, we urge flexibility and forbearance.

Determining Causation

Special Instructions to Physicians Regarding Determining Causation

Tennessee Clinical Practice Guidelines for the Outpatient Management of Chronic Non-Malignant Pain

Read the Appendix to the Tennessee Department of Health:  Tennessee Clinical Practice Guidelines for the Outpatient Management of Chronic Non-Malignant Pain.
There are special circumstances in the management of chronic pain for injured workers that are addressed by this Appendix. Please first review the Tennessee Department of Health Guidelines and Brochure before reviewing this appendix. Please note that this is a reference guide and aid to help the practitioner safely and effectively manage medications used for chronic pain. Rules regarding all treatment guidelines will be developed and presented to the public in the near future.

Chronic Pain Guidelines

Read the brochure entitled 'If opioids have not relieved your chronic pain'.' This may be copied for your patients.

Notice from the Administrator

The AMA Guides™ to the Evaluation of Permanent Impairment, 6th Edition is effective for injuries which occur on or after January 1, 2008.  Please see Tennessee Code Annotated, Section 50-6-204.

The edition of the Guides that is in effect on the date of injury is the edition that shall be applicable to the claim.  Please see Tennessee Code Annotated, Section 50-6-102.

Need More Help?

If you have additional questions, please call 615-532-4812 or 800-332-2667 or contact us by email at