HOW COLOSSUS ANALYZES EACH INJURY (DATA INPUT SCREENS)

1st Injury Name (each ICD-9 code individually)

Physician who diagnosed it

ICD-9 Code for this injury name

All CPT Codes used to treat this injury

99203, 99213, 98940, 97124, etc.

Last DATE this injury is noted in the doctor’s records

Injury TYPE

Bone, Muscle, Tendon, Ligament, Nerve, Contusion, etc.

Duration of this injury (Last date noted minus date of injury)

Prognosis for THIS injury (each ICD-9 code individually) (Requires MD)

Undetermined

No Complaints/No Treatment Recommended

Complaints/No Treatment Recommended

Complaints/Treatment Recommended

Guarded

Complaints Associated with THIS INJURY (each ICD-9)

ROM, HA, Dizzy, Spasm, Visual, Radiation, TMJ, Anxiety, Depression

Treatments Done (each and every one for THIS INJURY)

Adjustment, massage, exercises, gait training, electric stim, ultrasound, etc.

Treatment Details

Which Physician did EACH treatment?

Last chart date?

Was it done during the first 72 hours (more value)

Therapies Details

Was physical therapy prescribed?

Was massage therapy prescribed?

Was acupuncture prescribed?

Was self-exercise prescribed?

Was gym exercise prescribed?

Testing for this Injury (each ICD-9)

Physician who did this test

Last chart date this test is positive

Test type (X-ray, MRI, CT, exam findings, etc.)

Test Result (Positive or negative)

Complications for this Injury (each ICD-9)

Peripheral nerve injury

Wound infections/ulceration

Non-union

Thrombosis (venous or arterial)

Pulmonary embolism

Fat embolism

Avascular necrosis

Osteomyelitis