The following diagnoses are addressed in this Medical Treatment Guideline (MTG):
* Acromioclavicular (AC) joint sprain and/or dislocation
* Arthritis that is either aggravated or exacerbated by a work injury or that is secondary to a claim-related trauma or surgery
* Biceps tendon disorder, including tendinopathy, subluxation, and/or disruption
* Brachial plexus and peripheral nerve conditions
* Bursitis
* Fracture
* Glenohumeral instability, also called shoulder instability, such as from dislocation, Bankart injuries, Hill-Sachs lesions
* Labral tears, including superior labrum anterior and posterior (SLAP) lesions
* Post-traumatic stiff shoulder, including frozen shoulder and adhesive capsulitis, that is secondary to a claim-related trauma or surgery
* Rotator cuff tear
* Rotator cuff tendinopathy, including calcific and non-calcific tendonitis
* Subacromial impingement syndrome.
37 CR 13, July 10, 2014, effective 7/30/201438 CR 01, January 10, 2015, effective 2/1/201538 CR 05, March 10, 2015, effective 4/1/201538 CR 11, June 10, 2015, effective 7/1/201538 CR 17, September 10, 2015, effective 1/1/201639 CR 04, February 25, 2016, effective 3/16/201639 CR 13, July 10, 2016, effective 7/30/201639 CR 16, August 25, 2016, effective 9/14/201639 CR 19, October 10, 2016, effective 1/1/201740 CR 03, February 10, 2017, effective 3/2/201740 CR 11, June 10, 2017, effective 7/1/201740 CR 21, November 10, 2017, effective 11/30/201740 CR 18, September 25, 2017, effective 1/1/201840 CR 20, October 25, 2017, effective 1/1/201841 CR 11, June 10, 2018, effective 7/1/201841 CR 19, October 10, 2018, effective 1/1/201941 CR 20, October 25, 2018, effective 1/1/201941 CR 23, December 10, 2018, effective 1/1/201942 CR 01, January 10, 2019, effective 1/30/201942 CR 11, June 10, 2019, effective 6/30/201942 CR 12, June 25, 2019, effective 7/15/201942 CR 21, November 10, 2019, effective 11/30/201942 CR 20, October 25, 2019, effective 1/1/202042 CR 23, December 10, 2019, effective 1/1/202043 CR 03, February 10, 2020, effective 1/1/202043 CR 07, April 10, 2020, effective 4/30/202043 CR 11, June 10, 2020, effective 7/1/202043 CR 16, August 25, 2020, effective 10/14/202043 CR 21, November 10, 2020, effective 1/1/202144 CR 07, April 10, 2021, effective 4/30/202144 CR 08, April 25, 2021, effective 7/1/202144 CR 13, July 10, 2021, effective 7/30/202144 CR 20, October 25, 2021, effective 1/1/202244 CR 23, December 10, 2021, effective 1/1/202244 CR 23, December 10, 2021, effective 1/10/202245 CR 01, January 10, 2022, effective 1/30/202245 CR 11, June 10, 2022, effective 7/1/202245 CR 13, July 10, 2022, effective 8/10/202245 CR 21, November 10, 2022, effective 12/6/202246 CR 01, January 10, 2023, effective 12/6/202245 CR 19, October 10, 2022, effective 1/1/202346 CR 02, January 25, 2022, effective 1/1/202346 CR 02, January 25, 2023, effective 3/2/202346 CR 05, March 10, 2023, effective 3/30/202347 CR 23, December 10, 2024, effective 1/1/2025