19020

DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge determined that: (1) the preponderance of the evidence is not contrary to the decision of the Independent Review Organization (IRO) that the Claimant/Petitioner is not entitled to microdiscectomy at left L5-S1, neuromonitoring, preoperative laboratory testing, preoperative general testing, back brace, and surgical assistant; and (2) Claimant/Petitioner did not timely appeal the IRO decision. STATEMENT OF THE CASE On December 30, 2019,

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19019

DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation (DWC). For the reasons discussed herein, the Administrative Law Judge (ALJ) determines that: Claimant is not entitled to a right shoulder MRI without contrast for the compensable injury of (Date of Injury). STATEMENT OF THE CASE On December 12, 2019, Warren E. Hancock, Jr., a DWC administrative law judge, held a contested case hearing to decide the following disputed issues: 1.Is the preponderance of the evidence contrary to the decision

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19018

DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and Rules of the Division of Workers’ Compensation (DWC) adopted thereunder. For the reasons discussed herein, the Administrative Law Judge (ALJ) determines that: Claimant is not entitled to the requested authorization for left shoulder total arthroplasty revision, removal of glenosphere & humeral component, removal of superior screws with inpatient days. ISSUES A contested case hearing was held on November 12, 2019, with the record closing on December 6, 2019, to decide the following disputed issue: Is the preponderance of the evidence contrary to

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19017

DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and Rules of the Division of Workers’ Compensation (DWC) adopted thereunder. For the reasons discussed herein, the Administrative Law Judge determines that diagnostic interview, 1 hour of psychological testing evaluation, 2 hours of additional psychological testing, and 3 units of psychological test administration are not health care reasonably required for the compensable injury of (Date of Injury). STATEMENT OF THE CASE A contested case hearing was held on November 4, 2019 by a Division administrative law judge, Francisca N. Okonkwo, to decide the

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19016

DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. In accordance with the parties’ agreement, the Administrative Law Judge determines that Claimant is entitled to deep hardware removal and removal of support implant for the (Date of Injury), compensable injury. STATEMENT OF THE CASE On November 7, 2019, Kara Squier, a Division administrative law judge, held a contested case hearing to decide the following disputed issue: Is Claimant entitled to deep hardware removal and removal of support implant for

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19015

DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge determines that a purchase of binaural Phonak Audeo Marvel 90 rechargeable with TV connector, drying capsules, power pack, dry briks, dry and store, wax guards, and domes is health care reasonably required for the compensable injury of (Date of Injury). ISSUES On October 15, 2019, Judy Ney, a Division administrative law judge, held a contested case hearing to decide the following

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