DWD 81.09(1)(g)(g) All of the following diagnostic procedures or tests are considered adjuncts to the physical examination and are not necessary separately from the office visit: DWD 81.09(1)(h)(h) A health care provider may not order computerized range of motion or strength measuring tests during the period of initial nonsurgical management but may order these tests during the period of chronic management when used in conjunction with a computerized exercise program, work hardening program, or work conditioning program. During the period of initial nonsurgical management, computerized range of motion or strength testing may be performed but shall be done in conjunction with an office visit with a health care provider’s evaluation or treatment. DWD 81.09(1)(i)(i) A health care provider may order personality or psychosocial evaluations for evaluating patients who continue to have problems despite appropriate initial nonsurgical care. A treating health care provider may perform this evaluation or may refer the patient for consultation with another health care provider in order to obtain a psychological evaluation. These evaluations may be used to assess the patient for a number of psychological conditions that may interfere with recovery from the injury. Since more than one of these psychological conditions may be present in a given case, a health care provider performing the evaluation shall consider all of the following: DWD 81.09(1)(i)2.2. Does the patient exhibit an emotional reaction to the injury, such as depression, fear, or anger, that is interfering with recovery? DWD 81.09(1)(i)3.3. Are there other personality factors or disorders that are interfering with recovery? DWD 81.09(1)(i)6.6. Does the patient have a chronic pain syndrome or psychogenic pain? DWD 81.09(1)(i)7.7. In cases in which surgery is a possible treatment, are psychological factors likely to interfere with the potential benefit of the surgery? DWD 81.09(1)(j)(j) Diagnostic analgesic blocks and injection studies are used to localize the source of pain and to diagnose conditions which fail to respond to appropriate initial nonsurgical management. All of the following guidelines apply to diagnostic analgesic blocks and injection studies: DWD 81.09(1)(j)1.1. Selection of patients, choice of procedure, and localization of the site of injection shall be determined by documented clinical findings indicating possible pathologic conditions and the source of pain symptoms. DWD 81.09(1)(j)2.2. These blocks and injections may also be used as therapeutic modalities and as such are subject to the guidelines of sub. (5). DWD 81.09(1)(k)(k) Functional capacity assessment or evaluation is a comprehensive and objective assessment of a patient’s ability to perform work tasks. The components of a functional capacity assessment or evaluation include neuromusculoskeletal screening, tests of manual material handling, assessment of functional mobility, and measurement of postural tolerance. A functional capacity assessment or evaluation is an individualized testing process and the component tests and measurements are determined by the patient’s condition and the requested information. Functional capacity assessments and evaluations are performed to determine and report a patient’s physical capacities in general or to determine work tolerance for a specific job, task, or work activity. DWD 81.09(1)(k)1.1. Functional capacity assessment or evaluation is not necessary during the first 12 weeks of initial nonsurgical treatment. DWD 81.09(1)(k)2.2. Functional capacity assessment or evaluation is necessary after the first 12 weeks of care in any of the following circumstances: DWD 81.09(1)(k)3.3. A functional capacity evaluation is not necessary to establish baseline performance before treatment or for subsequent assessments to evaluate change during or after treatment. DWD 81.09(1)(k)4.4. Only one completed functional capacity evaluation is necessary per injury. DWD 81.09(1)(L)(L) Consultations with other health care providers may be initiated at any time by a treating health care provider consistent with accepted medical practice. DWD 81.09(2)(2) General treatment guidelines for upper extremity disorders.