# How Pre-Existing Conditions Affect Your Nevada Workers' Compensation Claim | Open 24/7

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Few workers go through their careers without some **pre-existing injuries or health conditions**. You might have an old back injury, a prior surgery, or a chronic illness when you suffer a new accident at work. Understandably, injured workers in Nevada often worry: **Will a prior injury or condition ruin my workers’ comp claim?** The good news is that **Nevada’s workers’ compensation laws protect employees with pre-existing conditions** in many cases. However, these situations can complicate your claim. In this article, we’ll explain what counts as a pre-existing condition, how Nevada law handles them, and **what you can do to ensure you receive the benefits you deserve**.

If you’re struggling with how pre-existing conditions are affecting your Nevada workers’ compensation claim, it’s time to take action. [Shook & Stone](https://www.shookandstone.com/) can work to ensure you get what you deserve. [Contact us](https://www.shookandstone.com/contact-us/) for guidance on your case or call us at [(702) 570-0000](tel:702-570-0000) to discuss your situation today. Let’s work together to secure your financial future.

## **What Is a Pre-Existing Condition in a Work Injury Claim?**

In workers’ comp terms, a **pre-existing condition** is **any injury, illness, or health issue you already had before your work accident**. This could be a physical injury (like an old knee injury or a herniated disc from years ago), a chronic medical condition (such as arthritis or diabetes), or even a prior mental health condition.

**Common examples of pre-existing conditions** that might come up in Nevada work injury claims include:

- **Chronic back, neck, or spinal injuries** – e.g. an old **back injury** or degenerative spinal conditions
- **Joint problems or past surgeries** – for instance, a previous **knee injury** or shoulder surgery
- **Repetitive strain injuries** – such as pre-existing carpal tunnel syndrome or tendonitis
- **Chronic illnesses** – like arthritis, **diabetes**, or COPD
- **Mental health conditions** – e.g. anxiety or depression

Having a condition like those above **does not automatically disqualify you from****Nevada workers’ compensation benefits**. But it’s important to understand how insurers and laws will treat your claim when such factors are in play.

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## **Nevada Law Protects Workers with Pre-Existing Conditions**

Nevada has **worker-friendly laws** that address pre-existing conditions in workers’ comp claims. **State statute NRS 616C.175** is particularly important because it provides that an injury may be compensable when a work accident aggravates, accelerates, or exacerbates a pre-existing condition, so long as the work accident is shown to be a substantial contributing cause. In simpler terms, **if your job made your pre-existing condition worse, your claim should be covered** – and it’s up to the **insurance company** (not you) to prove otherwise.

Additionally, under **NRS 616C.177**, insurers are allowed to *ask* you about prior injuries or medical conditions during the claim process, and you **must disclose** relevant pre-existing conditions if asked. However, **Nevada law does not allow an insurer to deny your claim *solely* because you have an unrelated pre-existing condition**. The focus is on **what happened in the work accident and how it impacted your health**, not simply what your health was like before.

**Key Takeaway:** *Nevada’s workers’ compensation system is designed to compensate employees for work-related injuries****even if****a pre-existing issue is present. If your work accident significantly worsened a prior condition, you are generally entitled to benefits for that worsened condition.*

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## **How Pre-Existing Conditions Can Impact Your Claim**

While a **pre-existing condition** **should not be grounds for outright denial** of a claim in Nevada, it can certainly make the process more complicated. **Workers’ comp insurers and employers often try to use pre-existing conditions as an excuse to minimize or deny claims**.

Here are a few **ways pre-existing conditions might affect your Nevada work injury claim**:

- **Claim Delays or Denials:** The insurer might initially **deny the claim** arguing that your condition was “pre-existing” and not caused by work. **Some insurers aggressively (and wrongly) deny claims whenever they see a pre-existing condition mentioned**, hoping the worker will just give up.
- **Closer Scrutiny of Causation:** You and your doctors will need to clearly **prove the work accident aggravated your condition**. You’ll need medical evidence that the work accident *substantially worsened* your condition.
- **Medical Treatment Challenges:** Doctors who aren’t familiar with Nevada law might **hesitate to link the injury to work** if they see a pre-existing condition. This can lead to legitimate treatments being denied unless challenged.
- **Benefit Reduction (Apportionment):** In Nevada, a **pre-existing condition can affect the amount of benefits**, especially when determining any permanent disability compensation. This concept is called **apportionment**. It means **your eventual disability rating or settlement can be reduced to account for the portion of disability that existed from before the work accident**. For example, if you already had a 5% impairment in your knee before the accident, and the work injury leaves you with a total 15% impairment, you might receive compensation for the **additional 10%** caused by the work incident.

Despite these challenges, a pre-existing condition by itself is not a valid basis to deny a Nevada workers’ compensation claim when medical evidence shows the work accident aggravated the condition. The insurer **must provide evidence** if they want to claim your work injury wasn’t a major factor.

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## **Your Rights Under Nevada Workers’ Comp Law**

**Nevada law is clear** that **injured workers should be compensated even if they weren’t in perfect health before the accident**. To recap your rights and protections:

- **Aggravation = Compensable:** If your work injury **aggravates, precipitates, or accelerates** a pre-existing condition, **the claim should be accepted** under NRS 616C.175.
- **Burden of Proof Is on the Insurer:** You do **not** have to prove your *pre-existing* condition wasn’t the cause; rather, the **insurer must prove the work accident was not a substantial cause** of your current condition if they want to deny coverage.
- **Disclosure, Not Disqualification:** You **should disclose** past injuries/conditions when asked, but **having a pre-existing condition does not disqualify you from benefits**.
- **Coverage of Medical Costs:** Employers are generally responsible for covering medical treatment that is reasonably necessary to address**the work-related aggravation of a pre-existing condition**, even if the same body part was injured before.

## **Insurance Company Tactics for Pre-Existing Conditions**

Despite the legal protections, **insurance companies try various tactics to minimize your claim** when a pre-existing condition is involved:

- **Claiming “Your Condition Isn’t Work-Related”:** The insurer might flat-out **deny the claim by arguing that your current injury is due to your pre-existing condition and not the work accident**. Overcoming this tactic usually requires a strong medical opinion from your doctor that **connects the dots** and shows the work incident *worsened* your condition.
- **Demanding Extensive Medical Records:** Expect the insurance adjuster to request your past medical records. Be honest – hiding a prior injury can harm your credibility more than the injury itself.
- **Pointing to Gaps or Inconsistencies:** The insurer may scour your health history for any **gaps in treatment or inconsistencies**. A clear narrative helps prevent the insurer from twisting the story.
- **Reducing Benefits Citing Pre-Existing Condition:** The insurer might acknowledge your injury happened but argue that **part of your disability or need for treatment is due to your prior condition**, not the work. If you feel your benefits are unfairly low due to this, that’s something you can dispute.

These tactics can be **frustrating and confusing**. **Remember, you have the right to push back.** You can **appeal a denied workers’ comp claim** and present evidence that your work accident aggravated your condition.

## **Proving an “Aggravation” of a Pre-Existing Injury**

One of the most important steps in these cases is **demonstrating that your work injury aggravated your pre-existing condition**. Here are some tips:

- **Tell Your Doctor Everything:** Make sure your treating physician knows about your **pre-existing condition and the new accident**. Describe how your symptoms changed *after* the work incident.
- **Get a Detailed Medical Opinion:** Ask your doctor to **document in your medical records** that the work accident **aggravated or “substantially contributed” to your condition**.
- **Show Your Pre-Injury Baseline:** Provide evidence of your **baseline health before the work accident**. If you rarely needed treatment or had no work restrictions for your pre-existing condition until the new injury, that’s strong proof the work incident worsened things.
- **Expert Testimony if Needed:** In complex cases, a medical expert can bolster your case by testifying that your **previous injury was stable or resolved, and the work accident caused new damage**.
- **Follow Nevada’s Reporting Rules:** Always **report your work injury and file a claim promptly**. Timely filing protects your rights.

## **Effects on Benefits and Disability Compensation**

**Pre-existing conditions can affect the *amount* of benefits** you receive, even when your claim is accepted:

- **Medical Benefits:** Workers’ comp will pay for all reasonably necessary medical treatment related to your work injury. But if after the work accident you need surgery or additional therapy, those **new medical needs** should be covered.
- **Temporary Disability (Lost Wages):** If you have to miss work due to the injury, you’ll receive temporary disability payments regardless of a pre-existing condition.
- **Permanent Disability (PPD) Rating:** This is where **apportionment** often comes in. **Nevada allows the rating doctor to apportion a percentage of your impairment to a pre-existing condition**. Your **Permanent Partial Disability award** could then be reduced based on the pre-existing portion.

It’s worth noting that **even with apportionment, a pre-existing condition doesn’t leave you with nothing**. You **still get benefits for the new level of impairment or the work-caused portion of the injury**.

## **How an Experienced Las Vegas Workers’ Compensation Attorney Can Help**

Navigating a Nevada workers’ comp claim is hard enough – it gets *even tougher when a pre-existing condition is involved*. A seasoned **workers’ compensation attorney in Las Vegas** can level the playing field by:

- **Evaluating Your Case:** Understanding the nuances of Nevada workers’ comp law and telling you frankly if the insurer is wrongfully denying your claim.
- **Gathering Strong Evidence:** Helping gather medical reports, expert opinions, and witness statements to prove the before-and-after impact of the injury.
- **Handling the Insurer:** **Insurance companies have teams of adjusters and lawyers**, but a workers’ comp lawyer will handle all communications on your behalf.
- **Ensuring Full Benefits:** Fighting to make sure you receive **all benefits you’re entitled to**, without improper reductions.
- **Appealing Denials:** Formally **appealing** denied decisions through Nevada’s workers’ comp appeals process.

When choosing a lawyer, **experience matters** – especially with pre-existing conditions issues. **Consultations for workers’ comp cases are often free**, so you can get professional advice without risk. Having an attorney can significantly improve your chances of getting the full benefits you deserve.

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If you’re struggling with how pre-existing conditions are affecting your Nevada workers’ compensation claim, it’s time to take action. [Shook & Stone](https://www.shookandstone.com/) can work to ensure you get what you deserve. [Contact us](https://www.shookandstone.com/contact-us/) for guidance on your case or call us at [(702) 570-0000](tel:702-570-0000) to discuss your situation today. Let’s work together to secure your financial future.

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Source: https://www.shookandstone.com/blog/how-pre-existing-conditions-affect-your-nevada-workers-compensation-claim/

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