Printing - FECA-PT2 - United States Department of Labor

of the condition accepted. For instance, if the OWCP has accepted a herniated
lumbar disc (code 722.10), the code for lumbar strain (847.2) should not be used
instead. Coding should be as specific as possible, coded to the 4 th or 5 th digit.
b. Surgery. When a surgical procedure has been accepted as work-related, the
CE should ensure that the accepted condition has been upgraded, when necessary,
to ensure that bills will be paid appropriately.
c. Psychiatric Conditions. When a claimant who has a physical work-related
condition requires treatment for a related psychiatric condition (e.g., depressive
reaction), the CE must add the psychiatric diagnosis to the system. Failure to do so
may result in denial of bills for psychiatric care.
d. Specific Identifiers. One-character identifiers unique to the case management
system are used to add more specificity to ICD-9 codes. These identifiers are:
R Right
L Left
B Both
A Aggravation
2-0402 SECURITY & PREVENTION OF FRAUD & ABUSE
TABLE OF CONTENTS
Paragraph and Subject Date Trans. No.
Table of Contents 10/98 99-02
1. Purpose and Scope 03/91 91-22
2. Monitoring Files and Documents 03/91 91-22
3. Payments 03/91 91-22
4. Information from Outside Sources 03/91 91-22
5. Unreported Earnings 03/91 91-22
6. Action Where Fraud is Not Involved 03/91 91-22
04/95 95-19
7. Action Where Fraud is Involved 10/98 99-02
8. Action upon Identifying Possible Fraud 03/91 91-22
08/95 95-33
01/92 92-12
9. Physical Security 01/92 92-12
Exhibits