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Cpt Code For Removal Of Abscess Catheter Go 2017

Casting and strapping codes should not be reported for orthotics fitting and training.

Splinting codes, though rarely used by therapists, may be appropriate for clinical situations (e.g., fracture, sprain, dislocation) where temporary immobilization/fixation is required until there is further treatment disposition.

This example is based upon a clinical vignette in CPT Assistant-April 2002.

See code 97140 for wrapping techniques for manual lymphatic drainage.

For dates of service on and after 10/1/2010, low back strapping (regardless of CPT code billed) will be considered a non-reimbursable service under Medicare, as the service has been removed from CPT as an obsolete procedure [CPT Changes 2010 – An Insider’s View, page 91].

PHYSICIAN CODING CPT Codes1 CPT Description 27090 Removal of hip prosthesis; ..

Reporting for Placement of a Non-biodegradable …

For the knee, the code would be 27310-58 (arthrotomy, knee, with exploration, drainage, or removal of foreign body [e.g., infection]).

If the level of care does not require the skills of a therapist, then the service is not covered.

Hubbard tank treatments more than 12 visits require clear documentation supporting the medical necessity of continued use of this modality.

It is not medically necessary to have more than one form of hydrotherapy during a visit (CPT codes 97022, 97036).

Supportive Documentation Recommendations for 97036 CPT 97039 - Physical therapy treatment (Specify type and time if constant attendance)
If an existing CPT code does not describe the service performed, an unlisted CPT code may be used.

Documentation would be necessary to support services beyond this level (such as PROM where these is an unhealed, unstable fracture, or new rotator cuff repair, requiring the skills of a therapist to ensure that the extremity is maintained in proper position and alignment during the PROM).

Supportive Documentation Recommendations for 97110 CPT 97112 - Neuromuscular re-education
This therapeutic procedure is provided for the purpose of restoring balance, coordination, kinesthetic sense, posture, and proprioception (e.g., proprioceptive neuromuscular facilitation (PNF), BAP’s boards, vestibular rehabilitation, desensitization techniques, balance and posture training).

This procedure may be reasonable and necessary for restoring prior function which has been affected by: If an exercise/activity is taught to the patient and performed for the purpose of restoring functional balance, motor coordination, kinesthetic sense, posture, or proprioception for sitting or standing activities, CPT (97112) is the appropriate code.

Correctly code arthroplasty by identifying the type - …

The minutes spent taping, such as McConnell taping or kinesiotaping techniques, to enhance proprioception would be counted under CPT code 97112.

When therapy is instituted because there is a history of falls or a falls screening has identified a significant fall risk, documentation should indicate: It may not be reasonable and necessary to extend visits for a patient with falls, or any patient receiving therapy services, if the purpose of the extended visits is to:
In these instances, once the appropriate cues have been determined by the qualified professional/auxiliary personnel, training of caregivers can be provided and the care should be turned over to supportive personnel or caregivers since repetitive cues and reminders do not require the skills of a therapist.

Documentation must clearly support the need for continued neuromuscular reeducation greater than 12-18 visits.

27090 REMOVAL OF HIP PROSTHESIS; (SEPARATE PROCEDURE) 11.69: 90: Hip Hemiarthroplasty CPT Codes ..

CPT 97760 is a "timed" code and only minutes actually spent in the training of the patient should be counted when determining units to bill when an L code is also billed.

There may be circumstances where a patient is only going to be seen for a brief therapy episode for issuance of an orthotic.

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Character Code Explanation Section Medicalsurgical …


Hand Surgery CPT Codes, sorted by number

If training is provided, describe the type of training, the amount of assistance required and the patient response to the training.CPT 97545 - Work hardening/conditioning and CPT 97546 - each additional hour
These services are related solely to specific work skills and will be denied as not medically necessary for the diagnosis or treatment of an illness or injury.

CPT 97597 - Rmvl devital tis 20 cm/
CPT 97598 - Rmvl devital tis addl 20 cm
CPT 97602 - Wound(s) care non-selective



Active wound care procedures are performed to remove devitalized tissue and promote healing, and involve selective and non-selective debridement techniques.

Coding for Hip Replacement Surgery - For The Record magazine

These 20 minutes would be assigned to code 97760, billable as 1 unit for the training component.

Per CPT Assistant, February 2007, “Code 97760 includes additional orthotic management and training during follow-up visits including exercises performed in the orthotic, instruction in skin care and orthotic wearing time, and time associated with modification of the orthotic due to healing of tissues, change in edema, or interruption in skin integrity.”

For an orthotic to be billed, it must be medically necessary for the patient's condition.

Special AHIMA Edition September 2013



Do not bill 97124 for percussion for postural drainage.

Supportive Documentation Recommendations for 97124 CPT 97139 - Physical medicine procedure
If an existing CPT code does not describe the service performed, an unlisted CPT code may be used.

Coding for Hip Replacement Surgery For The Record Vol

Once a patient begins gait training with the prosthesis, use code 97116.

Supportive Documentation Recommendations for 97761 CPT 97762 - C/o for orthotic/prosth use

These assessments are intended for established patients who have already received their orthotic or prosthetic device.

BCBSF Medical Policies (Medical Coverage Guidelines)

In most circumstances, as the pain decreases (with or without skilled therapy intervention) the gait will improve spontaneously without the need for skilled gait training intervention.

Documentation must clearly support the need for continued gait training beyond 12-18 visits within a 4-6 week period.

Neuromuscular Electrostimulation - Use for Walking in Patients with Spinal Cord Injury (SCI) (CPT code 97116) -

Shoulder pain is a common symptom in primary care

According to CPT Assistant – February 2007, code 97762 includes patient’s response to wearing the device, whether the patient is donning/doffing the device correctly, patient’s need for padding, underwrap, or socks, and of the patient’s tolerance to any dynamic forces being applied.

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