Total Joint Replacement (TJR)
Definition
A surgical procedure replacing a damaged joint with an artificial prosthesis, most commonly performed on the knee and hip. Total joint replacements in workers' compensation cases result in specific impairment ratings under the AMA Guides based on the type of prosthesis and residual functional limitations.
Related Terms
Frequently Asked Questions
What is a Total Joint Replacement (TJR)?
A surgical procedure replacing a damaged joint with an artificial prosthesis, most commonly performed on the knee and hip. Total joint replacements in workers' compensation cases result in specific impairment ratings under the AMA Guides based on the type of prosthesis and residual functional limitations.
Is total joint replacement covered under workers' compensation in California?
Total Joint Replacement may be authorized as part of a workers' compensation treatment plan in California, subject to utilization review (UR) and the Medical Treatment Utilization Schedule (MTUS). The primary treating physician must request authorization through the appropriate channels.