# Knee Injury

Aggregated by Superinsight from public-domain sources, as of 2026-10-05. Domain: wc/ny.

---

## Knee Injury MTG § A.1 — Medical Care {#a.1}

*NY WCB Knee Injury MTG, 4th ed., § A.1*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=6>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.1 — Medical Care** · page 6 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.2 — Rendering Of Medical Services {#a.2}

*NY WCB Knee Injury MTG, 4th ed., § A.2*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=6>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.2 — Rendering Of Medical Services** · page 6 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.3 — Positive Patient Response {#a.3}

*NY WCB Knee Injury MTG, 4th ed., § A.3*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=6>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.3 — Positive Patient Response** · page 6 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.4 — Re-Evaluate Treatment {#a.4}

*NY WCB Knee Injury MTG, 4th ed., § A.4*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=6>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.4 — Re-Evaluate Treatment** · page 6 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.5 — Education {#a.5}

*NY WCB Knee Injury MTG, 4th ed., § A.5*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=6>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.5 — Education** · pages 6–7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.6 — Acuity {#a.6}

*NY WCB Knee Injury MTG, 4th ed., § A.6*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=7>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.6 — Acuity** · page 7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.7 — Initial Evaluation {#a.7}

*NY WCB Knee Injury MTG, 4th ed., § A.7*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=7>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.7 — Initial Evaluation** · page 7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.8 — Diagnostic Time Frames {#a.8}

*NY WCB Knee Injury MTG, 4th ed., § A.8*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=7>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.8 — Diagnostic Time Frames** · page 7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.9 — Treatment Time Frames {#a.9}

*NY WCB Knee Injury MTG, 4th ed., § A.9*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=7>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.9 — Treatment Time Frames** · page 7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.10 — Delayed Recovery {#a.10}

*NY WCB Knee Injury MTG, 4th ed., § A.10*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=7>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.10 — Delayed Recovery** · pages 7–8 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.11 — Active Interventions {#a.11}

*NY WCB Knee Injury MTG, 4th ed., § A.11*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=8>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.11 — Active Interventions** · page 8 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.12 — Active Therapeutic Exercise Program {#a.12}

*NY WCB Knee Injury MTG, 4th ed., § A.12*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=8>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.12 — Active Therapeutic Exercise Program** · page 8 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.13 — Diagnostic Imaging And Testing Procedures {#a.13}

*NY WCB Knee Injury MTG, 4th ed., § A.13*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=8>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.13 — Diagnostic Imaging And Testing Procedures** · page 8 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.14 — Surgical Interventions {#a.14}

*NY WCB Knee Injury MTG, 4th ed., § A.14*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=9>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.14 — Surgical Interventions** · page 9 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.15 — Pre-Authorization {#a.15}

*NY WCB Knee Injury MTG, 4th ed., § A.15*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=9>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.15 — Pre-Authorization** · page 9 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.16 — Psychological/Psychiatric Evaluations {#a.16}

*NY WCB Knee Injury MTG, 4th ed., § A.16*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=9>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.16 — Psychological/Psychiatric Evaluations** · pages 9–10 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.17 — Personality/Psychological/Psychosocial Intervention {#a.17}

*NY WCB Knee Injury MTG, 4th ed., § A.17*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=10>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.17 — Personality/Psychological/Psychosocial Intervention** · page 10 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.18 — Functional Capacity Evaluation (FCE) {#a.18}

*NY WCB Knee Injury MTG, 4th ed., § A.18*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=10>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.18 — Functional Capacity Evaluation (FCE)** · pages 10–11 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.19 — Return To Work {#a.19}

*NY WCB Knee Injury MTG, 4th ed., § A.19*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=11>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.19 — Return To Work** · page 11 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.20 — Job Site Evaluation {#a.20}

*NY WCB Knee Injury MTG, 4th ed., § A.20*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=11>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.20 — Job Site Evaluation** · pages 11–12 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.21 — Guideline Recommendations And Medical Evidence {#a.21}

*NY WCB Knee Injury MTG, 4th ed., § A.21*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=12>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.21 — Guideline Recommendations And Medical Evidence** · page 12 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.22 — Experimental/Investigational Treatment {#a.22}

*NY WCB Knee Injury MTG, 4th ed., § A.22*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=12>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.22 — Experimental/Investigational Treatment** · page 12 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.23 — Injured Workers As Patients {#a.23}

*NY WCB Knee Injury MTG, 4th ed., § A.23*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=12>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.23 — Injured Workers As Patients** · page 12 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § A.24 — Scope Of Practice {#a.24}

*NY WCB Knee Injury MTG, 4th ed., § A.24*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=12>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ A.24 — Scope Of Practice** · pages 12–13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1 — History Taking and Physical Examination {#b.1}

*NY WCB Knee Injury MTG, 4th ed., § B.1*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=13>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1 — History Taking and Physical Examination** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.a.i — Mechanism of injury: This includes details of symptom onset {#b.1.a.i}

*NY WCB Knee Injury MTG, 4th ed., § B.1.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=13>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.a.i — Mechanism of injury: This includes details of symptom onset** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.a.ii — Relationship to work: This includes a statement of the probability that the illness or injury is work-related; {#b.1.a.ii}

*NY WCB Knee Injury MTG, 4th ed., § B.1.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=13>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.a.ii — Relationship to work: This includes a statement of the probability that the illness or injury is work-related;** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.a.iii — Prior occupational and non-occupational injuries to the same {#b.1.a.iii}

*NY WCB Knee Injury MTG, 4th ed., § B.1.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=13>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.a.iii — Prior occupational and non-occupational injuries to the same** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.a.iv — History of locking, clicking, giving way, crepitation, popping, {#b.1.a.iv}

*NY WCB Knee Injury MTG, 4th ed., § B.1.a.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=13>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.a.iv — History of locking, clicking, giving way, crepitation, popping,** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.a.vi — Exacerbating and alleviating factors for symptoms; not limited {#b.1.a.vi}

*NY WCB Knee Injury MTG, 4th ed., § B.1.a.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=13>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.a.vi — Exacerbating and alleviating factors for symptoms; not limited** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.b.i — Past medical history includes, but is not limited to, neoplasm (or recurrence), gout/pseudogout, infections, significant knee femur {#b.1.b.i}

*NY WCB Knee Injury MTG, 4th ed., § B.1.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=13>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.b.i — Past medical history includes, but is not limited to, neoplasm (or recurrence), gout/pseudogout, infections, significant knee femur** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.b.ii — A review of systems should be conducted, the elements of which may include signs or symptoms related to the following {#b.1.b.ii}

*NY WCB Knee Injury MTG, 4th ed., § B.1.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=13>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.b.ii — A review of systems should be conducted, the elements of which may include signs or symptoms related to the following** · pages 13–14 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.c — Physical Examination {#b.1.c}

*NY WCB Knee Injury MTG, 4th ed., § B.1.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=14>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.c — Physical Examination** · page 14 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.c.iv — Strength with attention given to evaluate for atrophy and muscle fasciculations; {#b.1.c.iv}

*NY WCB Knee Injury MTG, 4th ed., § B.1.c.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=14>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.c.iv — Strength with attention given to evaluate for atrophy and muscle fasciculations;** · page 14 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.c.vii — If applicable to injury, integrity of distal circulation, sensory, and motor function; and {#b.1.c.vii}

*NY WCB Knee Injury MTG, 4th ed., § B.1.c.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=14>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.c.vii — If applicable to injury, integrity of distal circulation, sensory, and motor function; and** · page 14 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.c.viii — If applicable, full neurological exam including muscle atrophy {#b.1.c.viii}

*NY WCB Knee Injury MTG, 4th ed., § B.1.c.viii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=14>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.c.viii — If applicable, full neurological exam including muscle atrophy** · page 14 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.1.d — Red Flags {#b.1.d}

*NY WCB Knee Injury MTG, 4th ed., § B.1.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=14>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.1.d — Red Flags** · pages 14–15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.2 — Radiographic Imaging (X-Ray) {#b.2}

*NY WCB Knee Injury MTG, 4th ed., § B.2*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=15>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.2 — Radiographic Imaging (X-Ray)** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.2.a — Inability to transfer weight for four steps at the time of the initial visit, {#b.2.a}

*NY WCB Knee Injury MTG, 4th ed., § B.2.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=15>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.2.a — Inability to transfer weight for four steps at the time of the initial visit,** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.2.d — Unexplained or persistent pain over two weeks. (Occult fractures, especially stress fractures, may not be visible on initial x-ray. A follow-up {#b.2.d}

*NY WCB Knee Injury MTG, 4th ed., § B.2.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=15>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.2.d — Unexplained or persistent pain over two weeks. (Occult fractures, especially stress fractures, may not be visible on initial x-ray. A follow-up** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.2.e — History or exam suggestive of intravenous drug abuse or osteomyelitis; {#b.2.e}

*NY WCB Knee Injury MTG, 4th ed., § B.2.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=15>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.2.e — History or exam suggestive of intravenous drug abuse or osteomyelitis;** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.2.f — Pain with swelling and/or range of motion (ROM) limitation localizing to an {#b.2.f}

*NY WCB Knee Injury MTG, 4th ed., § B.2.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=15>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.2.f — Pain with swelling and/or range of motion (ROM) limitation localizing to an** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.3 — Laboratory Testing {#b.3}

*NY WCB Knee Injury MTG, 4th ed., § B.3*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=15>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.3 — Laboratory Testing** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.3.a — Complete Blood Count (CBC) with Differential {#b.3.a}

*NY WCB Knee Injury MTG, 4th ed., § B.3.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=15>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.3.a — Complete Blood Count (CBC) with Differential** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.3.b — Erythrocyte sedimentation rate (ESR), rheumatoid factor (RF), anti- {#b.3.b}

*NY WCB Knee Injury MTG, 4th ed., § B.3.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=15>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.3.b — Erythrocyte sedimentation rate (ESR), rheumatoid factor (RF), anti-** · pages 15–16 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.3.c — Serum calcium, phosphorous, uric acid, alkaline phosphatase, and acid phosphatase {#b.3.c}

*NY WCB Knee Injury MTG, 4th ed., § B.3.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=16>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.3.c — Serum calcium, phosphorous, uric acid, alkaline phosphatase, and acid phosphatase** · page 16 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.3.d — Liver and Kidney Function {#b.3.d}

*NY WCB Knee Injury MTG, 4th ed., § B.3.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=16>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.3.d — Liver and Kidney Function** · page 16 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.3.e — Joint Aspiration {#b.3.e}

*NY WCB Knee Injury MTG, 4th ed., § B.3.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=16>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.3.e — Joint Aspiration** · page 16 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4 — Diagnostic Testing and Procedures {#b.4}

*NY WCB Knee Injury MTG, 4th ed., § B.4*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=16>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4 — Diagnostic Testing and Procedures** · page 16 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.a.i — Magnetic Resonance Imaging (MRI) {#b.4.a.i}

*NY WCB Knee Injury MTG, 4th ed., § B.4.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=17>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.a.i — Magnetic Resonance Imaging (MRI)** · page 17 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.a.ii — Computed Tomography (CT) {#b.4.a.ii}

*NY WCB Knee Injury MTG, 4th ed., § B.4.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=17>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.a.ii — Computed Tomography (CT)** · page 17 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.a.iii — Lineal Tomography {#b.4.a.iii}

*NY WCB Knee Injury MTG, 4th ed., § B.4.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=18>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.a.iii — Lineal Tomography** · page 18 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.a.iv — Bone Scan (Radioisotope Bone Scanning) {#b.4.a.iv}

*NY WCB Knee Injury MTG, 4th ed., § B.4.a.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=18>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.a.iv — Bone Scan (Radioisotope Bone Scanning)** · page 18 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.a.v — Other Radionuclide Scanning {#b.4.a.v}

*NY WCB Knee Injury MTG, 4th ed., § B.4.a.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=18>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.a.v — Other Radionuclide Scanning** · page 18 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.a.vi — Arthrograms {#b.4.a.vi}

*NY WCB Knee Injury MTG, 4th ed., § B.4.a.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=18>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.a.vi — Arthrograms** · page 18 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.a.vii — Diagnostic Arthroscopy {#b.4.a.vii}

*NY WCB Knee Injury MTG, 4th ed., § B.4.a.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=18>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.a.vii — Diagnostic Arthroscopy** · pages 18–19 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.b — Other Tests {#b.4.b}

*NY WCB Knee Injury MTG, 4th ed., § B.4.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=19>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.b — Other Tests** · page 19 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.b.i — Electromyography (EMG) and Nerve Conduction Velocity {#b.4.b.i}

*NY WCB Knee Injury MTG, 4th ed., § B.4.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=19>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.b.i — Electromyography (EMG) and Nerve Conduction Velocity** · page 19 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.b.ii — Somatosensory Evoked Potentials (SSEP) {#b.4.b.ii}

*NY WCB Knee Injury MTG, 4th ed., § B.4.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=19>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.b.ii — Somatosensory Evoked Potentials (SSEP)** · page 19 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.b.iii — Doppler Ultrasonography/Plethysmography {#b.4.b.iii}

*NY WCB Knee Injury MTG, 4th ed., § B.4.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=19>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.b.iii — Doppler Ultrasonography/Plethysmography** · pages 19–20 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.4.b.iv — Venogram/Arteriogram {#b.4.b.iv}

*NY WCB Knee Injury MTG, 4th ed., § B.4.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=20>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.4.b.iv — Venogram/Arteriogram** · page 20 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § B.5.a — Joint Aspiration {#b.5.a}

*NY WCB Knee Injury MTG, 4th ed., § B.5.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=20>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ B.5.a — Joint Aspiration** · page 20 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.1.a — Description/ Definition {#c.1.a}

*NY WCB Knee Injury MTG, 4th ed., § C.1.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=20>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.1.a — Description/ Definition** · page 20 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.1.b — Mechanism of Injury {#c.1.b}

*NY WCB Knee Injury MTG, 4th ed., § C.1.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=20>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.1.b — Mechanism of Injury** · pages 20–21 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.1.c — Specific Physical Findings {#c.1.c}

*NY WCB Knee Injury MTG, 4th ed., § C.1.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=21>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.1.c — Specific Physical Findings** · page 21 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.1.d — Testing Procedures {#c.1.d}

*NY WCB Knee Injury MTG, 4th ed., § C.1.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=21>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.1.d — Testing Procedures** · page 21 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.1.e — Non-Operative Treatment {#c.1.e}

*NY WCB Knee Injury MTG, 4th ed., § C.1.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=21>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.1.e — Non-Operative Treatment** · page 21 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.1.f — Surgical Indications / Operative Treatment {#c.1.f}

*NY WCB Knee Injury MTG, 4th ed., § C.1.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=21>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.1.f — Surgical Indications / Operative Treatment** · page 21 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.1.g — Autologous Chondrocyte Implantation (ACI) Exclusion Criteria {#c.1.g}

*NY WCB Knee Injury MTG, 4th ed., § C.1.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=21>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.1.g — Autologous Chondrocyte Implantation (ACI) Exclusion Criteria** · pages 21–22 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.1.h — Post-Operative Therapy {#c.1.h}

*NY WCB Knee Injury MTG, 4th ed., § C.1.h*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=22>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.1.h — Post-Operative Therapy** · pages 22–26 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.2.a — Description/Definition {#c.2.a}

*NY WCB Knee Injury MTG, 4th ed., § C.2.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=26>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.2.a — Description/Definition** · page 26 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.2.b — Mechanism of Injury {#c.2.b}

*NY WCB Knee Injury MTG, 4th ed., § C.2.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=26>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.2.b — Mechanism of Injury** · page 26 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.2.c — Specific Physical Findings {#c.2.c}

*NY WCB Knee Injury MTG, 4th ed., § C.2.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=26>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.2.c — Specific Physical Findings** · page 26 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.2.d — Testing Procedures {#c.2.d}

*NY WCB Knee Injury MTG, 4th ed., § C.2.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=26>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.2.d — Testing Procedures** · page 26 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.2.e — Non-Operative Treatment {#c.2.e}

*NY WCB Knee Injury MTG, 4th ed., § C.2.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=26>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.2.e — Non-Operative Treatment** · pages 26–27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.2.f — Surgical Indications / Operative Treatment {#c.2.f}

*NY WCB Knee Injury MTG, 4th ed., § C.2.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=27>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.2.f — Surgical Indications / Operative Treatment** · page 27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.2.g — Post-Operative Therapy {#c.2.g}

*NY WCB Knee Injury MTG, 4th ed., § C.2.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=27>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.2.g — Post-Operative Therapy** · page 27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.3.a — Description / Definition {#c.3.a}

*NY WCB Knee Injury MTG, 4th ed., § C.3.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=27>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.3.a — Description / Definition** · page 27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.3.b — Mechanism of Injury {#c.3.b}

*NY WCB Knee Injury MTG, 4th ed., § C.3.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=27>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.3.b — Mechanism of Injury** · page 27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.3.c — Specific Physical Findings {#c.3.c}

*NY WCB Knee Injury MTG, 4th ed., § C.3.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=27>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.3.c — Specific Physical Findings** · page 27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.3.d — Diagnostic Testing Procedures {#c.3.d}

*NY WCB Knee Injury MTG, 4th ed., § C.3.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=27>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.3.d — Diagnostic Testing Procedures** · pages 27–28 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.3.e — Non-Operative Treatment {#c.3.e}

*NY WCB Knee Injury MTG, 4th ed., § C.3.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=28>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.3.e — Non-Operative Treatment** · page 28 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.3.f — Surgical Indications / Operative Treatment {#c.3.f}

*NY WCB Knee Injury MTG, 4th ed., § C.3.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=28>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.3.f — Surgical Indications / Operative Treatment** · page 28 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.4.a — Description / Definition {#c.4.a}

*NY WCB Knee Injury MTG, 4th ed., § C.4.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=28>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.4.a — Description / Definition** · page 28 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.4.b — Mechanism of Injury {#c.4.b}

*NY WCB Knee Injury MTG, 4th ed., § C.4.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=28>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.4.b — Mechanism of Injury** · page 28 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.4.c — Specific Physical Findings {#c.4.c}

*NY WCB Knee Injury MTG, 4th ed., § C.4.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=28>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.4.c — Specific Physical Findings** · page 28 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.4.d — Diagnostic Testing Procedures {#c.4.d}

*NY WCB Knee Injury MTG, 4th ed., § C.4.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=28>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.4.d — Diagnostic Testing Procedures** · pages 28–29 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.4.e — Non-Operative Treatment {#c.4.e}

*NY WCB Knee Injury MTG, 4th ed., § C.4.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=29>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.4.e — Non-Operative Treatment** · page 29 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.4.f — Surgical Indications / Operative Treatment {#c.4.f}

*NY WCB Knee Injury MTG, 4th ed., § C.4.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=29>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.4.f — Surgical Indications / Operative Treatment** · page 29 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.4.g — Post-Operative Therapy {#c.4.g}

*NY WCB Knee Injury MTG, 4th ed., § C.4.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=29>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.4.g — Post-Operative Therapy** · pages 29–30 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.5.a — Description / Definition {#c.5.a}

*NY WCB Knee Injury MTG, 4th ed., § C.5.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=30>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.5.a — Description / Definition** · page 30 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.5.b — Mechanism of Injury {#c.5.b}

*NY WCB Knee Injury MTG, 4th ed., § C.5.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=30>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.5.b — Mechanism of Injury** · page 30 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.5.c — Specific Physical Findings {#c.5.c}

*NY WCB Knee Injury MTG, 4th ed., § C.5.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=30>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.5.c — Specific Physical Findings** · page 30 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.5.d — Diagnostic Testing Procedures {#c.5.d}

*NY WCB Knee Injury MTG, 4th ed., § C.5.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=30>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.5.d — Diagnostic Testing Procedures** · page 30 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.5.e — Non-Operative Treatment {#c.5.e}

*NY WCB Knee Injury MTG, 4th ed., § C.5.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=31>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.5.e — Non-Operative Treatment** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.5.f — Operative Treatment {#c.5.f}

*NY WCB Knee Injury MTG, 4th ed., § C.5.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=31>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.5.f — Operative Treatment** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.5.g — Post-Operative Therapy {#c.5.g}

*NY WCB Knee Injury MTG, 4th ed., § C.5.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=31>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.5.g — Post-Operative Therapy** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.6.a — Description / Definition {#c.6.a}

*NY WCB Knee Injury MTG, 4th ed., § C.6.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=31>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.6.a — Description / Definition** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.6.b — Mechanism of Injury {#c.6.b}

*NY WCB Knee Injury MTG, 4th ed., § C.6.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=31>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.6.b — Mechanism of Injury** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.6.c — Specific Physical Findings {#c.6.c}

*NY WCB Knee Injury MTG, 4th ed., § C.6.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=31>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.6.c — Specific Physical Findings** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.6.d — Diagnostic Testing Procedures {#c.6.d}

*NY WCB Knee Injury MTG, 4th ed., § C.6.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=31>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.6.d — Diagnostic Testing Procedures** · pages 31–32 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.6.e — Non-Operative Treatment {#c.6.e}

*NY WCB Knee Injury MTG, 4th ed., § C.6.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=32>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.6.e — Non-Operative Treatment** · page 32 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.6.f.i — Meniscal Allograft Transplantation {#c.6.f.i}

*NY WCB Knee Injury MTG, 4th ed., § C.6.f.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=32>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.6.f.i — Meniscal Allograft Transplantation** · page 32 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.6.f.ii — Meniscectomy/Meniscus Repair {#c.6.f.ii}

*NY WCB Knee Injury MTG, 4th ed., § C.6.f.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=32>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.6.f.ii — Meniscectomy/Meniscus Repair** · page 32 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.6.g — Post-Operative Therapy {#c.6.g}

*NY WCB Knee Injury MTG, 4th ed., § C.6.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=32>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.6.g — Post-Operative Therapy** · pages 32–35 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.7 — Meniscal Allograft Transplantation Exclusion Criteria {#c.7}

*NY WCB Knee Injury MTG, 4th ed., § C.7*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=35>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.7 — Meniscal Allograft Transplantation Exclusion Criteria** · pages 35–36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.8.a — Description / Definition {#c.8.a}

*NY WCB Knee Injury MTG, 4th ed., § C.8.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=36>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.8.a — Description / Definition** · page 36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.8.b — Mechanism of Injury {#c.8.b}

*NY WCB Knee Injury MTG, 4th ed., § C.8.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=36>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.8.b — Mechanism of Injury** · page 36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.8.c — Specific Physical Findings {#c.8.c}

*NY WCB Knee Injury MTG, 4th ed., § C.8.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=36>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.8.c — Specific Physical Findings** · page 36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.8.d — Diagnostic Testing Procedures {#c.8.d}

*NY WCB Knee Injury MTG, 4th ed., § C.8.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=36>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.8.d — Diagnostic Testing Procedures** · page 36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.8.e — Non-Operative Treatment {#c.8.e}

*NY WCB Knee Injury MTG, 4th ed., § C.8.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=37>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.8.e — Non-Operative Treatment** · page 37 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.8.f — Operative Treatment {#c.8.f}

*NY WCB Knee Injury MTG, 4th ed., § C.8.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=37>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.8.f — Operative Treatment** · page 37 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.8.g — Post-Operative Therapy {#c.8.g}

*NY WCB Knee Injury MTG, 4th ed., § C.8.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=37>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.8.g — Post-Operative Therapy** · page 37 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.a — Description / Definition {#c.9.a}

*NY WCB Knee Injury MTG, 4th ed., § C.9.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=37>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.a — Description / Definition** · page 37 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.b — Mechanism of Injury {#c.9.b}

*NY WCB Knee Injury MTG, 4th ed., § C.9.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=37>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.b — Mechanism of Injury** · page 37 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.c — Specific Physical Findings {#c.9.c}

*NY WCB Knee Injury MTG, 4th ed., § C.9.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=37>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.c — Specific Physical Findings** · pages 37–38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.d.i — Radiographs {#c.9.d.i}

*NY WCB Knee Injury MTG, 4th ed., § C.9.d.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=38>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.d.i — Radiographs** · page 38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.d.ii — CT or Bone Scan {#c.9.d.ii}

*NY WCB Knee Injury MTG, 4th ed., § C.9.d.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=38>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.d.ii — CT or Bone Scan** · page 38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.d.iii — MRI {#c.9.d.iii}

*NY WCB Knee Injury MTG, 4th ed., § C.9.d.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=38>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.d.iii — MRI** · page 38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.e — Non-Operative Treatment {#c.9.e}

*NY WCB Knee Injury MTG, 4th ed., § C.9.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=38>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.e — Non-Operative Treatment** · page 38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.f — Surgical Indications {#c.9.f}

*NY WCB Knee Injury MTG, 4th ed., § C.9.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=38>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.f — Surgical Indications** · page 38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.g — Operative Treatment {#c.9.g}

*NY WCB Knee Injury MTG, 4th ed., § C.9.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=38>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.g — Operative Treatment** · pages 38–39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.9.h — Post-Operative Therapy {#c.9.h}

*NY WCB Knee Injury MTG, 4th ed., § C.9.h*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=39>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.9.h — Post-Operative Therapy** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.10.a — Description / Definition {#c.10.a}

*NY WCB Knee Injury MTG, 4th ed., § C.10.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=40>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.10.a — Description / Definition** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.10.b — Mechanism of Injury {#c.10.b}

*NY WCB Knee Injury MTG, 4th ed., § C.10.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=40>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.10.b — Mechanism of Injury** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.10.c — Specific Physical Findings {#c.10.c}

*NY WCB Knee Injury MTG, 4th ed., § C.10.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=40>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.10.c — Specific Physical Findings** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.10.d — Diagnostic Testing Procedures {#c.10.d}

*NY WCB Knee Injury MTG, 4th ed., § C.10.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=40>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.10.d — Diagnostic Testing Procedures** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.10.e — Non-Operative Treatment {#c.10.e}

*NY WCB Knee Injury MTG, 4th ed., § C.10.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=40>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.10.e — Non-Operative Treatment** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.10.f — Surgical Indications {#c.10.f}

*NY WCB Knee Injury MTG, 4th ed., § C.10.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=40>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.10.f — Surgical Indications** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.10.g — Operative Treatment {#c.10.g}

*NY WCB Knee Injury MTG, 4th ed., § C.10.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=40>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.10.g — Operative Treatment** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.10.h — Post-Operative Therapy {#c.10.h}

*NY WCB Knee Injury MTG, 4th ed., § C.10.h*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=40>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.10.h — Post-Operative Therapy** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.11.a — Description {#c.11.a}

*NY WCB Knee Injury MTG, 4th ed., § C.11.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=41>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.11.a — Description** · page 41 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.11.b — Mechanism of Injury {#c.11.b}

*NY WCB Knee Injury MTG, 4th ed., § C.11.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=41>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.11.b — Mechanism of Injury** · page 41 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.11.c — Specific Physical Findings {#c.11.c}

*NY WCB Knee Injury MTG, 4th ed., § C.11.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=41>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.11.c — Specific Physical Findings** · page 41 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.11.d — Diagnostic Testing Procedures {#c.11.d}

*NY WCB Knee Injury MTG, 4th ed., § C.11.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=41>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.11.d — Diagnostic Testing Procedures** · page 41 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.11.e — Radiographs, CT, MRI {#c.11.e}

*NY WCB Knee Injury MTG, 4th ed., § C.11.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=41>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.11.e — Radiographs, CT, MRI** · page 41 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.11.f — Non-Operative Treatment {#c.11.f}

*NY WCB Knee Injury MTG, 4th ed., § C.11.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=41>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.11.f — Non-Operative Treatment** · page 41 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.11.g — Operative Treatment {#c.11.g}

*NY WCB Knee Injury MTG, 4th ed., § C.11.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=42>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.11.g — Operative Treatment** · page 42 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § C.11.h — Post-Operative Therapy {#c.11.h}

*NY WCB Knee Injury MTG, 4th ed., § C.11.h*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=42>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ C.11.h — Post-Operative Therapy** · page 42 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.1 — Acupuncture {#d.1}

*NY WCB Knee Injury MTG, 4th ed., § D.1*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=42>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.1 — Acupuncture** · pages 42–43 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.2 — Biofeedback {#d.2}

*NY WCB Knee Injury MTG, 4th ed., § D.2*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=43>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.2 — Biofeedback** · page 43 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.3 — Injections: Therapeutic {#d.3}

*NY WCB Knee Injury MTG, 4th ed., § D.3*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=43>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.3 — Injections: Therapeutic** · page 43 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.3.a — Soft Tissue Joint Injections {#d.3.a}

*NY WCB Knee Injury MTG, 4th ed., § D.3.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=43>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.3.a — Soft Tissue Joint Injections** · page 43 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.3.b — Trigger Point Injections {#d.3.b}

*NY WCB Knee Injury MTG, 4th ed., § D.3.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=43>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.3.b — Trigger Point Injections** · page 43 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.3.c — Prolotherapy (also known as sclerotherapy) {#d.3.c}

*NY WCB Knee Injury MTG, 4th ed., § D.3.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=44>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.3.c — Prolotherapy (also known as sclerotherapy)** · page 44 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.3.d — Protein Rich Plasma (PRP) {#d.3.d}

*NY WCB Knee Injury MTG, 4th ed., § D.3.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=44>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.3.d — Protein Rich Plasma (PRP)** · page 44 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.3.e — Intra-Capsular Acid Salts – Viscosupplementation {#d.3.e}

*NY WCB Knee Injury MTG, 4th ed., § D.3.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=44>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.3.e — Intra-Capsular Acid Salts – Viscosupplementation** · page 44 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.4 — Medications {#d.4}

*NY WCB Knee Injury MTG, 4th ed., § D.4*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=44>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.4 — Medications** · page 44 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.4.a — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Knee pain {#d.4.a}

*NY WCB Knee Injury MTG, 4th ed., § D.4.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=44>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.4.a — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Knee pain** · page 44 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.4.b — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#d.4.b}

*NY WCB Knee Injury MTG, 4th ed., § D.4.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=45>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.4.b — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 45 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.4.c — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#d.4.c}

*NY WCB Knee Injury MTG, 4th ed., § D.4.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=45>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.4.c — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 45 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.4.d — Acetaminophen {#d.4.d}

*NY WCB Knee Injury MTG, 4th ed., § D.4.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=45>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.4.d — Acetaminophen** · pages 45–46 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.4.e — Topical Medications {#d.4.e}

*NY WCB Knee Injury MTG, 4th ed., § D.4.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=46>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.4.e — Topical Medications** · pages 46–47 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.4.f — Opioids {#d.4.f}

*NY WCB Knee Injury MTG, 4th ed., § D.4.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=47>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.4.f — Opioids** · page 47 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.4.g — Minor Tranquilizer / Muscle Relaxants {#d.4.g}

*NY WCB Knee Injury MTG, 4th ed., § D.4.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=47>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.4.g — Minor Tranquilizer / Muscle Relaxants** · page 47 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.5.a — Fabrication / Modification of Orthotics {#d.5.a}

*NY WCB Knee Injury MTG, 4th ed., § D.5.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=47>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.5.a — Fabrication / Modification of Orthotics** · page 47 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.5.b — Orthotic / Prosthetic Training {#d.5.b}

*NY WCB Knee Injury MTG, 4th ed., § D.5.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=48>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.5.b — Orthotic / Prosthetic Training** · page 48 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.5.c — Splints or Adaptive Equipment {#d.5.c}

*NY WCB Knee Injury MTG, 4th ed., § D.5.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=48>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.5.c — Splints or Adaptive Equipment** · page 48 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6 — Rehabilitation {#d.6}

*NY WCB Knee Injury MTG, 4th ed., § D.6*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=48>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6 — Rehabilitation** · pages 48–49 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.a — Physical / Occupational Therapy {#d.6.a}

*NY WCB Knee Injury MTG, 4th ed., § D.6.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=49>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.a — Physical / Occupational Therapy** · page 49 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.aa — Whirlpool {#d.6.aa}

*NY WCB Knee Injury MTG, 4th ed., § D.6.aa*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=55>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.aa — Whirlpool** · page 55 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.b — Activities of Daily Living (ADL) {#d.6.b}

*NY WCB Knee Injury MTG, 4th ed., § D.6.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=49>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.b — Activities of Daily Living (ADL)** · page 49 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.c — Functional Electrical Stimulation {#d.6.c}

*NY WCB Knee Injury MTG, 4th ed., § D.6.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=49>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.c — Functional Electrical Stimulation** · pages 49–50 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.d — Gait Training {#d.6.d}

*NY WCB Knee Injury MTG, 4th ed., § D.6.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=50>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.d — Gait Training** · page 50 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.e — Neuromuscular Re-Education {#d.6.e}

*NY WCB Knee Injury MTG, 4th ed., § D.6.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=50>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.e — Neuromuscular Re-Education** · page 50 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.f — Therapeutic Exercise {#d.6.f}

*NY WCB Knee Injury MTG, 4th ed., § D.6.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=50>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.f — Therapeutic Exercise** · pages 50–51 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.g — Wheelchair Management and Propulsion {#d.6.g}

*NY WCB Knee Injury MTG, 4th ed., § D.6.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=51>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.g — Wheelchair Management and Propulsion** · page 51 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.h — Continuous Passive Movement (CPM) {#d.6.h}

*NY WCB Knee Injury MTG, 4th ed., § D.6.h*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=51>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.h — Continuous Passive Movement (CPM)** · page 51 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.i — Contrast Baths {#d.6.i}

*NY WCB Knee Injury MTG, 4th ed., § D.6.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=51>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.i — Contrast Baths** · page 51 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.j — Electrical Stimulation (Physician or Therapist Applied) {#d.6.j}

*NY WCB Knee Injury MTG, 4th ed., § D.6.j*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=51>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.j — Electrical Stimulation (Physician or Therapist Applied)** · pages 51–52 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.k — Fluidotherapy {#d.6.k}

*NY WCB Knee Injury MTG, 4th ed., § D.6.k*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=52>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.k — Fluidotherapy** · page 52 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.l — Infrared Therapy {#d.6.l}

*NY WCB Knee Injury MTG, 4th ed., § D.6.l*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=52>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.l — Infrared Therapy** · page 52 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.m — Iontophoresis {#d.6.m}

*NY WCB Knee Injury MTG, 4th ed., § D.6.m*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=52>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.m — Iontophoresis** · page 52 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.n — Kinesiotaping, Taping or Strapping {#d.6.n}

*NY WCB Knee Injury MTG, 4th ed., § D.6.n*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=52>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.n — Kinesiotaping, Taping or Strapping** · page 52 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.o — Manipulation {#d.6.o}

*NY WCB Knee Injury MTG, 4th ed., § D.6.o*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=52>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.o — Manipulation** · page 52 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.p — Manual Electrical Stimulation {#d.6.p}

*NY WCB Knee Injury MTG, 4th ed., § D.6.p*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=53>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.p — Manual Electrical Stimulation** · page 53 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.q — Massage: Manual or Mechanical {#d.6.q}

*NY WCB Knee Injury MTG, 4th ed., § D.6.q*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=53>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.q — Massage: Manual or Mechanical** · page 53 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.r — Mobilization (Joint) {#d.6.r}

*NY WCB Knee Injury MTG, 4th ed., § D.6.r*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=53>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.r — Mobilization (Joint)** · page 53 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.s — Mobilization (Soft Tissue) {#d.6.s}

*NY WCB Knee Injury MTG, 4th ed., § D.6.s*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=53>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.s — Mobilization (Soft Tissue)** · pages 53–54 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.t — Paraffin Bath {#d.6.t}

*NY WCB Knee Injury MTG, 4th ed., § D.6.t*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=54>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.t — Paraffin Bath** · page 54 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.u — Superficial Heat and Cold Therapy {#d.6.u}

*NY WCB Knee Injury MTG, 4th ed., § D.6.u*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=54>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.u — Superficial Heat and Cold Therapy** · page 54 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.v — Short-Wave Diathermy {#d.6.v}

*NY WCB Knee Injury MTG, 4th ed., § D.6.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=54>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.v — Short-Wave Diathermy** · page 54 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.w — Traction {#d.6.w}

*NY WCB Knee Injury MTG, 4th ed., § D.6.w*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=54>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.w — Traction** · page 54 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.x — Transcutaneous Electrical Nerve Stimulation (TENS) {#d.6.x}

*NY WCB Knee Injury MTG, 4th ed., § D.6.x*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=54>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.x — Transcutaneous Electrical Nerve Stimulation (TENS)** · pages 54–55 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.y — Ultrasound {#d.6.y}

*NY WCB Knee Injury MTG, 4th ed., § D.6.y*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=55>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.y — Ultrasound** · page 55 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.6.z — Vasopneumatic Devices {#d.6.z}

*NY WCB Knee Injury MTG, 4th ed., § D.6.z*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=55>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.6.z — Vasopneumatic Devices** · page 55 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.7 — Therapy: Ongoing Maintenance Care {#d.7}

*NY WCB Knee Injury MTG, 4th ed., § D.7*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=56>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.7 — Therapy: Ongoing Maintenance Care** · page 56 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8 — Therapeutic Procedures: Operative {#d.8}

*NY WCB Knee Injury MTG, 4th ed., § D.8*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=57>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8 — Therapeutic Procedures: Operative** · page 57 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.a.i — Description / Definition {#d.8.a.i}

*NY WCB Knee Injury MTG, 4th ed., § D.8.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=57>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.a.i — Description / Definition** · page 57 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.a.ii — Diagnostic Testing Procedures {#d.8.a.ii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=57>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.a.ii — Diagnostic Testing Procedures** · page 57 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.a.iii — Non-Operative {#d.8.a.iii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=57>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.a.iii — Non-Operative** · page 57 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.a.iv — Operative Treatment {#d.8.a.iv}

*NY WCB Knee Injury MTG, 4th ed., § D.8.a.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=57>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.a.iv — Operative Treatment** · page 57 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.a.v — Post-Operative Therapy {#d.8.a.v}

*NY WCB Knee Injury MTG, 4th ed., § D.8.a.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=58>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.a.v — Post-Operative Therapy** · page 58 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.b — Knee Arthroplasty {#d.8.b}

*NY WCB Knee Injury MTG, 4th ed., § D.8.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=58>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.b — Knee Arthroplasty** · page 58 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.c.i — Description / Definition {#d.8.c.i}

*NY WCB Knee Injury MTG, 4th ed., § D.8.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=59>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.c.i — Description / Definition** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.c.ii — Mechanism of Injury {#d.8.c.ii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.c.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=59>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.c.ii — Mechanism of Injury** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.c.iii — Specific Physical Findings {#d.8.c.iii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.c.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=59>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.c.iii — Specific Physical Findings** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.c.iv — Diagnostic Testing Procedures {#d.8.c.iv}

*NY WCB Knee Injury MTG, 4th ed., § D.8.c.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=59>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.c.iv — Diagnostic Testing Procedures** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.c.v — Non-Operative Treatment {#d.8.c.v}

*NY WCB Knee Injury MTG, 4th ed., § D.8.c.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=59>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.c.v — Non-Operative Treatment** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.c.vi — Operative Treatment Amputation {#d.8.c.vi}

*NY WCB Knee Injury MTG, 4th ed., § D.8.c.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=59>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.c.vi — Operative Treatment Amputation** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.c.vii — Post-Operative Therapy {#d.8.c.vii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.c.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=59>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.c.vii — Post-Operative Therapy** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.d.i — Description / Definition {#d.8.d.i}

*NY WCB Knee Injury MTG, 4th ed., § D.8.d.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=59>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.d.i — Description / Definition** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.d.ii — Mechanism of Injury {#d.8.d.ii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.d.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=59>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.d.ii — Mechanism of Injury** · pages 59–60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.d.iii — Specific Physical Findings {#d.8.d.iii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.d.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=60>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.d.iii — Specific Physical Findings** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.d.iv — Diagnostic Procedures {#d.8.d.iv}

*NY WCB Knee Injury MTG, 4th ed., § D.8.d.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=60>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.d.iv — Diagnostic Procedures** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.d.v — Non-Operative Treatment {#d.8.d.v}

*NY WCB Knee Injury MTG, 4th ed., § D.8.d.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=60>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.d.v — Non-Operative Treatment** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.d.vi — Surgical Indications {#d.8.d.vi}

*NY WCB Knee Injury MTG, 4th ed., § D.8.d.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=60>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.d.vi — Surgical Indications** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.d.vii — Operative Treatment {#d.8.d.vii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.d.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=60>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.d.vii — Operative Treatment** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.d.viii — Post-Operative Therapy {#d.8.d.viii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.d.viii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=60>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.d.viii — Post-Operative Therapy** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.e.i — Description / Definition {#d.8.e.i}

*NY WCB Knee Injury MTG, 4th ed., § D.8.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=60>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.e.i — Description / Definition** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.e.ii — Mechanism of Injury {#d.8.e.ii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=60>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.e.ii — Mechanism of Injury** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.e.iii — Specific Physical Findings {#d.8.e.iii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.e.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=61>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.e.iii — Specific Physical Findings** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.e.iv — Diagnostic Testing Procedures {#d.8.e.iv}

*NY WCB Knee Injury MTG, 4th ed., § D.8.e.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=61>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.e.iv — Diagnostic Testing Procedures** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.e.v — Non-Operative Treatment {#d.8.e.v}

*NY WCB Knee Injury MTG, 4th ed., § D.8.e.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=61>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.e.v — Non-Operative Treatment** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.e.vi — Surgical Indications {#d.8.e.vi}

*NY WCB Knee Injury MTG, 4th ed., § D.8.e.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=61>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.e.vi — Surgical Indications** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.e.vii — Operative Treatment {#d.8.e.vii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.e.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=61>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.e.vii — Operative Treatment** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.e.viii — Post-Operative Therapy {#d.8.e.viii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.e.viii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=61>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.e.viii — Post-Operative Therapy** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.f.i — Description / Definition {#d.8.f.i}

*NY WCB Knee Injury MTG, 4th ed., § D.8.f.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=61>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.f.i — Description / Definition** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.f.ii — Mechanism of Injury {#d.8.f.ii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.f.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=61>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.f.ii — Mechanism of Injury** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.f.iii — Specific Physical Findings {#d.8.f.iii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.f.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=61>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.f.iii — Specific Physical Findings** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.f.iv — Diagnostic Testing Procedures {#d.8.f.iv}

*NY WCB Knee Injury MTG, 4th ed., § D.8.f.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=62>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.f.iv — Diagnostic Testing Procedures** · page 62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.f.v — Non-Operative Treatment {#d.8.f.v}

*NY WCB Knee Injury MTG, 4th ed., § D.8.f.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=62>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.f.v — Non-Operative Treatment** · page 62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.f.vi — Operative Treatment {#d.8.f.vi}

*NY WCB Knee Injury MTG, 4th ed., § D.8.f.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=62>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.f.vi — Operative Treatment** · page 62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.f.vii — Post-Operative Therapy {#d.8.f.vii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.f.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=62>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.f.vii — Post-Operative Therapy** · page 62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.g.i — Description / Definition {#d.8.g.i}

*NY WCB Knee Injury MTG, 4th ed., § D.8.g.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=62>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.g.i — Description / Definition** · page 62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.g.ii — Mechanism of Injury {#d.8.g.ii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.g.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=62>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.g.ii — Mechanism of Injury** · page 62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.g.iii — Specific Physical Findings {#d.8.g.iii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.g.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=62>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.g.iii — Specific Physical Findings** · page 62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.g.iv — Diagnostic Testing Procedures {#d.8.g.iv}

*NY WCB Knee Injury MTG, 4th ed., § D.8.g.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=62>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.g.iv — Diagnostic Testing Procedures** · page 62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.g.v — Non-Operative Treatment {#d.8.g.v}

*NY WCB Knee Injury MTG, 4th ed., § D.8.g.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=63>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.g.v — Non-Operative Treatment** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.g.vi — Operative Treatment {#d.8.g.vi}

*NY WCB Knee Injury MTG, 4th ed., § D.8.g.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=63>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.g.vi — Operative Treatment** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.g.vii — Post-Operative Therapy {#d.8.g.vii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.g.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=63>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.g.vii — Post-Operative Therapy** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.h.i — Description / Definition {#d.8.h.i}

*NY WCB Knee Injury MTG, 4th ed., § D.8.h.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=63>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.h.i — Description / Definition** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.h.ii — Mechanism of Injury {#d.8.h.ii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.h.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=63>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.h.ii — Mechanism of Injury** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.h.iii — Specific Physical Findings {#d.8.h.iii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.h.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=63>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.h.iii — Specific Physical Findings** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.h.iv — Diagnostic Testing Procedures {#d.8.h.iv}

*NY WCB Knee Injury MTG, 4th ed., § D.8.h.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=63>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.h.iv — Diagnostic Testing Procedures** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.h.v — Non-Operative Treatment {#d.8.h.v}

*NY WCB Knee Injury MTG, 4th ed., § D.8.h.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=63>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.h.v — Non-Operative Treatment** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.h.vi — Operative Treatment {#d.8.h.vi}

*NY WCB Knee Injury MTG, 4th ed., § D.8.h.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=64>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.h.vi — Operative Treatment** · page 64 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.h.vii — Post-Operative Therapy {#d.8.h.vii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.h.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=64>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.h.vii — Post-Operative Therapy** · page 64 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.i.i — Description / Definition {#d.8.i.i}

*NY WCB Knee Injury MTG, 4th ed., § D.8.i.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=64>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.i.i — Description / Definition** · page 64 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.i.ii — Evaluation and Management {#d.8.i.ii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.i.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=64>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.i.ii — Evaluation and Management** · page 64 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.j.i — Description / Definition {#d.8.j.i}

*NY WCB Knee Injury MTG, 4th ed., § D.8.j.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=64>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.j.i — Description / Definition** · page 64 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Knee Injury MTG § D.8.j.ii — Evaluation and Management {#d.8.j.ii}

*NY WCB Knee Injury MTG, 4th ed., § D.8.j.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/KneeInjuryMTG2021.pdf#page=64>

_NY WCB Knee Injury Medical Treatment Guidelines, Fourth Edition (January 26, 2021), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(3)._

**§ D.8.j.ii — Evaluation and Management** · page 64 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).
