Independent Medical Exam Definition
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FAQ
CPT codes 99455 and 99456 are both designated to cover work-related or medical disability exams. The first covers an exam provided by the treating physician, and the second covers an exam provided by someone other than the treating physician.
Independent Medical Exams will only be paid utilizing these CPT codes: o CPT 99455- IME by Treating Physician- Includes 30 minutes of record review time. o CPT 99456- Summary of Notes by Non-Treating Physician- Includes 30 minutes of record review time.
At the conclusion of your IME, the physician conducting your IME will issue a report to your workers' compensation insurance company. While it is generally difficult to challenge the findings of an IME, there are limited circumstances under which you may do so.
If the employee submits a workers' comp claim, the employer's insurance company may ask the injured worker to have an independent medical examination (IME). A doctor chosen by the insurance company will perform the examination.
An independent medical examination (IME) is a medical evaluation performed by a medical professional on a patient who was not previously involved in the treatment of that patient, to evaluate the patient's course of prior treatment and current condition.