                                             COURT OF APPEALS OF VIRGINIA


              Present: Judges Huff, Russell and Athey
UNPUBLISHED


              Argued at Fredericksburg, Virginia


              ABEL ASGEDOM
                                                                           MEMORANDUM OPINION* BY
              v.     Record No. 1198-19-4                                 JUDGE CLIFFORD L. ATHEY, JR.
                                                                               FEBRUARY 25, 2020
              AIRPORT TERMINAL SERVICES, INC. AND
               SENTRY CASUALTY CO.


                           FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION

                               Matthew J. Peffer (Michael Herdman; ChasenBoscolo Injury
                               Lawyers, on brief), for appellant.

                               Jesse F. Narron (K. Elizabeth O’Dea; Penn, Stuart & Eskridge, on
                               brief), for appellees.


                     Abel Asgedom (“claimant”) appeals a denial of benefits by the Workers’ Compensation

              Commission (“Commission”). Claimant contends that (1) the Commission erred by reversing

              the deputy commissioner’s determination to reinstate temporary total disability benefits; and

              (2) the Commission erred by denying additional diagnostic tests. We find claimant’s arguments

              unpersuasive and affirm the Commission’s denial of benefits.

                                                   I. FACTUAL BACKGROUND

                     On October 25, 2016, claimant suffered a ruptured left Achilles tendon after being struck

              by a baggage cart while working for Airport Terminal Services, Inc. (“ATS”). On December 9,

              2016, the Commission entered an award order providing claimant lifetime benefits for a left

              Achilles tendon rupture, in addition to weekly temporary total disability benefits beginning

              October 26, 2016, and continuing.


                     *
                         Pursuant to Code § 17.1-413, this opinion is not designated for publication.
       Claimant began treatment for his injury with Dr. Thomas Sanders in January 2017. In

April, Dr. Sanders referred claimant to Dr. Deeni Bassam, a pain management specialist who

began treating claimant in May 2017.

       Pursuant to a stipulated order dated May 7, 2018, claimant was offered a new panel of

pain management physicians. From this panel, claimant chose Dr. Virgil Balint who first met

with claimant on August 8, 2018. Dr. Balint subsequently determined that claimant could return

to his regular duties immediately.

       ATS filed an employer’s application for hearing seeking termination of claimant’s open

temporary total disability award based on Dr. Balint’s August 8, 2018 report that released

claimant to return to his regular work duties. Claimant also filed a request for hearing on

September 20, 2018, seeking a lifetime medical award for his right hip and lower back pain as a

compensable consequence of the injury. In support of this request, claimant sought authorization

for an EMG and MRI of his lumbar spine. Claimant subsequently withdrew his compensable

consequence request.

       Following a hearing, the deputy commissioner held that claimant failed to establish a

causal relationship between the October 25, 2016 injury and his request for further testing of his

lumbar spine. However, the deputy commissioner ruled that ATS failed to sustain its burden of

proof on the issue of claimant’s release to return to pre-injury duties.

       Both ATS and claimant appealed to the Commission. Following a careful review of the

evidence, the Commission, by 2-1 vote, held that “the record as a whole established a return to

pre-injury employment.” Additionally, the Commission unanimously found that “no convincing

causal connection exists between the requested diagnostic studies and the compensable injury.”

Claimant appeals the Commission’s decision.




                                                -2-
                                    II. STANDARD OF REVIEW

       On appeal from a decision of the Commission, the evidence and all reasonable inferences

that may be drawn from that evidence are viewed in the light most favorable to the party

prevailing below. Clinchfield Coal Co. v. Reed, 40 Va. App. 69, 72 (2003). We “do not retry

the facts before the Commission nor do we review the weight, preponderance of the evidence, or

the credibility of witnesses.” Caskey v. Dan River Mills, Inc., 225 Va. 405, 411 (1983). “If

there is evidence or reasonable inference that can be drawn from the evidence to support the

Commission’s findings, they will not be disturbed by this Court on appeal, even though there is

evidence in the record to support contrary findings of fact.” Id. “This appellate deference is not

a mere legal custom, subject to a flexible application, but a statutory command.” Cent. Va.

Obstetrics & Gynecology Assocs. v. Whitfield, 42 Va. App. 796, 803 (2004).

                                          III. ANALYSIS

                         A. Temporary Disability Benefits Termination

       An employer alleging a change in condition bears the burden of proving that the claimant

is fully able to perform the duties of his pre-injury employment. See Pilot Freight Carriers, Inc.

v. Reeves, 1 Va. App. 435, 438-39 (1986). The standard for terminating disability benefits based

on a change of condition can be met by either of two methods: (1) a claimant’s physician’s

medical opinion given after having reviewed the claimant’s job duties, see Celanese Fibers Co.

v. Johnson, 229 Va. 117, 120 (1985), or (2) “uncontroverted evidence which establishes that no

restrictions have been placed on claimant’s ability to return to work,” Fingles Co. v. Tatterson,

22 Va. App. 638, 642 (1996). “Only if a claimant desires to challenge the accuracy of the

employer’s evidence and allege that some physical limitation related to his injury prohibits

performance of his pre-injury job does the claimant then bear the burden to present contrary

evidence.” Id. “If a claimant presents such evidence, the [C]ommission must then make a

                                               -3-
finding of fact, weighing the evidence produced and determining whether the employer met its

burden to prove a change in condition.” Id. “If a claimant fails to produce such evidence, the

[C]ommission can only conclude that the claimant has been released to his pre-injury

employment.” Id. “Thus, where uncontradicted medical evidence does not suggest any physical

limitation on a claimant, the employer need not also show that the physician was familiar with

the physical requirements of the job and the type of physical limitations which would prohibit its

performance.” Id. (citing Mace v. Merchants Delivery Moving & Storage, 221 Va. 401, 403

(1980)).

       In its role as fact finder, the Commission weighed the medical evidence and articulated

its finding that claimant was released to his regular employment duties, thus terminating his

temporary disability. The Commission explained in its opinion that each of the treating

physicians that saw claimant released him on different dates to regular employment duties, the

most recent of which being Dr. Balint. The Commission found that Dr. Balint “released the

claimant to his regular duties immediately” on August 8, 2018.

       The medical record supports the Commission’s factual findings. Dr. Bassam reviewed

claimant’s prior diagnostic studies on June 7, 2017, and concluded that claimant exhibited

subjective pain complaints and returned him to work without restrictions with respect to his

occupational injury. Dr. Sanders subsequently reviewed claimant’s pre-injury job description

and opined that claimant could return to work as of September 9, 2017. Upon re-evaluation in

June 2018, Dr. Sanders referred claimant to Dr. Balint as a pain management specialist. In this

referral, Dr. Sanders restricted claimant to not being able to work until further evaluation by

Dr. Balint.

       However, in Dr. Balint’s August 8, 2018 report, claimant was released to “perform in his

regular duties immediately.” Dr. Balint specifically addressed all of claimant’s complaints

                                                -4-
individually in the report. The report found that claimant’s left ankle and foot complaints were

such that he could return to his pre-injury duties. Next, Dr. Balint found that claimant’s left calf

atrophy was likely due to an unrelated Achilles tendon injury that required a previous surgery, or

a herniated disk. Finally, Dr. Balint found that claimant’s lower back pain could not be related to

the compensable injury or a consequence of that injury.

       Claimant contends that Dr. Balint’s opinion fails to support the Commission’s findings

because Dr. Balint was not fully informed about claimant’s job duties. As we have previously

ruled, an employer is not required to show that a physician is familiar with the physical

requirements of a claimant’s job or the type of physical limitations that would prohibit its

performance when the claimant is released to work without restrictions. See Fingles Co., 22

Va. App. at 642 (citing Mace, 221 Va. at 401); see also Sloas v. Babcock & Wilson Constr. Co.,

No. 0596-95-3 (Va. Ct. App. July 23, 1996) (stating that the treating physician necessarily

released the claimant to perform any task, including his pre-injury employment, because the

treating physician released the claimant to work without restriction).1

       Under these circumstances, credible evidence supports the Commission’s finding that

claimant could return to his pre-injury employment, and the termination of his temporary

benefits was not error.

                                       B. Diagnostic Studies

       A claimant must prove that the medical treatment he seeks is causally related to the

accident, the treatment is reasonable and necessary for treatment of his compensable condition,

and the medical service was rendered by, or on referral by, an authorized treating physician. See

Volvo White Truck Corp. v. Hedge, 1 Va. App. 195, 199 (1985). The Commission’s


       1
           “Although not binding precedent, unpublished opinions can be cited and considered for
their persuasive value.” Otey v. Commonwealth, 61 Va. App. 346, 351 (2012) (citing Rule
5A:1(f)).
                                           -5-
determination of causation is a finding of fact. Lee County School Bd. v. Miller, 38 Va. App.

253, 260 (2002). The factual determination regarding causation is usually proven by medical

evidence. Clinch Valley Med. Ctr. v. Hayes, 34 Va. App. 183, 192 (2000).

       The Court has employed a three-part test to determine when an employer may be held

responsible for the cost of a diagnostic procedure. First, the claimant must show that the

procedure is reasonable and necessary, second, the approved treating physician has authorized

the procedure, and finally, the medical records indicate a possible causal connection between the

condition and a compensable injury. See Herbert Clements & Sons v. Harris, 52 Va. App. 447,

457-58 (2008).

       It is undisputed that Dr. Balint is an authorized treating physician and has recommended

the diagnostic procedures, thereby meeting the first and second prongs of the Clements test.

However, as the Commission noted in its opinion, “claimant has an award for a compensable

injury to his left Achilles tendon. He does not have an award for a back condition.” Dr. Balint

requested the lumbar MRI scan and EMG study with respect to the lower back complaints.

Dr. Balint specifically denied causation between the back condition and the compensable injury

in his August 8, 2018 report. Further, a previous MRI conducted by Dr. Bassam and authorized

by ATS on May 23, 2017, failed to show any causal connection between claimant’s lower back

and hip complaints and the compensable left Achilles injury.

       Claimant did not meet the third prong of the Clements test; therefore, we cannot disturb

the finding of fact by the Commission that the requested diagnostic studies are not causally

connected to the compensable injury.




                                               -6-
                               IV. CONCLUSION

For the foregoing reasons, we affirm the decision of the Commission.

                                                                       Affirmed.




                                      -7-
