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WCB Nova Scotia CTS Physician Hand/Wrist Report

WCB Nova Scotia uses this three-page report to assess whether a worker's hand or wrist symptoms, such as potential carpal tunnel syndrome, are causally related to the workplace. It walks through symptom history, Phalen's, Tinel's and other examination findings, a diagram of where sensations occur, the diagnosis or differential, and conditions such as diabetes or thyroid disorders that can contribute.

Who completes it

The worker's family doctor must complete, sign and date the form, covering sections A to M and the health care provider block with their name, HS number, phone and fax.

Submitting and payment

How to submit it
Upload the completed PDF as a secure-message attachment in WCB Online, or fax it to WCB, with the WCB claim number on every page. Attach copies of any electrodiagnostic testing such as EMG or NCV.
Who pays
Physicians bill the report through MSI with WCB as the payee under fee code WCB20, the carpal tunnel syndrome assessment report, within six months of the service date.

Good to know

  • Section D records left and right findings for Phalen's test, reversed Phalen's, Tinel's sign, carpal compression, muscle wasting and sensory testing, plus other relevant findings.
  • Section I asks whether the worker has diabetes, thyroid disorders, inflammatory arthritis, renal disease, hormonal conditions, anatomic factors, acute limb trauma, surgical history or cervical spine co-morbidity.
  • The form also asks for current medications, height and weight, and lab results for sed rate, glucose and TSH, alongside copies of any EMG or nerve conduction studies.
  • Sections A to C cover the symptoms the worker reports, when they were first reported and when you began treating the worker; section E maps sensations on the form's diagram.

Get the official form

Download the current version from the source each time; forms change without notice.

CTS - Physician Hand/Wrist Report

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.

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Frequently asked questions

Who completes the WCB Nova Scotia CTS hand/wrist report?

The worker's family doctor. The form states it must be completed, signed and dated by the family doctor, and the health care provider block asks for your printed name, HS number, signature, phone and fax. Questions about the form go to WCB Nova Scotia.

What fee code applies to the CTS physician report?

Fee code WCB20, the carpal tunnel syndrome assessment report, billed through MSI with WCB selected as the payee rather than the Department of Health and Wellness. Include the WCB claim number and Nova Scotia health card number, and submit within six months of the service date, after which MSI rejects the bill automatically.

What tests should be attached to the CTS report?

Section M asks you to attach copies of any electrodiagnostic testing, such as EMG or nerve conduction velocity studies. Section L asks for lab results for sed rate, glucose and TSH, and section K for the worker's height and weight, all used to assess whether the hand or wrist symptoms relate to the workplace.