doc.bizwan.comdoc.bizwan.com/order/CPT/_common cpt code.pdf · 2014-05-20 · 810.02 Clavicle Fx...
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,. . , ... , • 99201 F ocilsed/l O 99211 Minimum/5 99241 Focused.115 ' - 99202 F.,.,,anded/20 99212 Focused/IO 99242 Expanded/30 99203 Detailed/30 99213 Exnanded/15 99243 Detriled/40 99204 Comnrehensive/45 !1!1214 Detruledt25 99244 Comorehensive/60 99205 Comolex/60 !l!IZD Comprehensive/40 99245 Comolete/80 llU NC No Ch2 F/M Scheduled Iniection/Other Requested By: -25 Separate FJM, above & beyond NC 99024 Po:st oil Visit/No Charge · The nonnal pre/post exam, decision Date of Snmerv: That day for SX (0-10 day global) II . ,. ,. , ... -24 Same as -25 modifier however E/M A4580 PlaSter 29055 Shoulder soica RT LT W/IN global/separate E/M . i A4590 Fiberglass . 29065 Long arm RT LT -51 Modifier-57 applies to decision for E0114 Crutches 29075 Short arm RT LT - surgery on 90day day global period , A6266 UnnaBoot . 29085 Gauntlet !hand & lower forearm) Procedures - day of/day before L3260 Post oo Shoe 29086 Finger (el!.· contracture) RT LT -50 Bilateral Procedure that are performed at A4565 Slinl!S 29105 Long mm svlint RT LT the same operative session A4570 Finger Solint 29125 Short arm SPiint: Static RT LT -51 Multiple Procedure are performed at the Ll810 Knee Orthoses 29130 Finger solint: static RT LT same session by the same provider Ll906 AFO Mult Ankle 29240 Strapping, shldr RT LT -58 One replacement cast allow Ll830 KO Immobilizer When 50% of time is with patient, can base F/M L3710 Elbow Ortho Elastic 29260 Strapping; elbow/wrist_ RT LT levd on time. Documoutation must indicate time with the ... ticotaod anv other reviews. L3908 Wrist Cock-up Non-mold 29280 Strapping; hand /finger RT LT 04003 Shldr cast. nlaster 29305 Hip soica cast· l le2 .. RT LT .. WIOMAN (\&005 Lon2 arm cast, plaster 293.25 - I and Y, or both Je..S RT LT 23500 23505 Clavicle M006 Loo2 arm cast, fiber 29345 Long leg cast RT LT . 23600 23605 Humeral neck . \&009 Short arm c;i<t olaster 29365 Cylinder leg cast 23650 Dislocated shldr ·)4010 Short arm casL fiber 29405 Short leg cast RT LT 24500 24505 Humerus ')4013 Gauntlet (forearm/hand), plaster 29425 Short leg cast; walkin!dambulatoiv -. 24650 24655 Radial Head •)4014 ·Gauntlet (forearm/hand), fiber 29435 PTB cast (patellar tendon bearirt!!) 25560 25565 Radius/Ulna 04017 Long arm solint, plaster 29505 Long leg splint RT LT 25600 25605 CollesFx 04018 Long arin splint, fiber 29515 Short leg solint RT LT 25630 25635 Comal bone 04021 Short arm snlint, plaster 29580 Unnaboot RT LT 26600 26605 04022 Short arm splint, fiber 29450 Clubfoot casting RT LT 26720 26725 Fin.,er Phalanx I )4029 Lon2 lei!. nlaster 29720 Renair of sniea bodv cast or iacket 27520 Patella 1 · 14030 Lon2 Jeg_ fiber 29740 Cast wedlrin• 27750 27752 Tibia/Fibula ( 4033 Long leg cvlinder, olaster 29730 Cast windowing 27786 27788 Lat. Malleolus 4034 . Long Jeg_ cvlinder fiber 27808 27810 Bimalleolar Clsd )4037 Short Jeg_ nlaster 27840 Ankle 28400 28405 ·CaJcaneus ( 4038 Short leg; fiber 27250 Hip • 28450 28455 Tarsal ()4041 Long leg snlint, olaster 28660 IP-Toe 28470 28475 Metatarsal ()4042 Long Jeg solint, fiber 27550 Knee 82520 StressFx 04046 Short Leg SPiint, fiber 28630 MTP 04049 Finger snlint, static 27560 Patella EIM bundled when scheduled iniections. L3907 Thumb soica 27830 Tibofibular 20526 Iniection/camal tunnel , ....... ,_ I 20550 Single tendon sheath/lig ( nlantar/facia) 04007 Long aim cast, plaster 76000 Flouroscopy (up to l hr) 20551 Sin1 '1e tendon or.nn 04008 Loni? arm cast, fiber 76001 Flouroscopv (more than I hr) 20552 Sin21e/Multi tri2ger pts 1-2 muscle 04011 Short arm c•<f. plaster 77002 Flouroscopy needle l!llidance 20553 Sinele/Multi tri""en>ts 3+ muscle 04012 Short arm r.o<t fiber 77071 Flouroscopy stress views 20600 Small ioint/bursa ( eg. Finger/toes) 04031 Lone leg, olaster 77077 Flouroscopy joint survev 20605 Interm. Jt <tmL ac shldr wrist elbow, ank) 04032 Lone ]el!. fiber 73040 Flouro shoulder arthroor.mhv 20610 Maior it/bursa (shldr, hio, knee, subac) 04033 Long leg cylinder, plaster 73085 Flouro, elbow arthroarnnhv 20612 Amir/Ini ""ng]ion cvst/anv Joe. 04034 Long leg cylinder, fiber 73115 Flouro wrist arthroonmhv , .. 04039 Short le!!. nlaster 73580 Flo.uro knee arthro=mhv J7321 X7486 Hval/Suoartz 04040 Short leg; fib er 73615 Flouro ankle arthrooronhv · 17325 Svnvisc 04027 Hio snica (one/both), olaster Jl!OO X6004 Dexamethasone Im2 04028 Hip SPica (one/both}, fiber Radiology Technical Comoonent JI020 X6040 Deoo-Medrol 20m2 RT LT 76140 Review Radio/Elsewhere done 11030 X6038 Deno-Medrol 40me RT LT 76499-26 Unlisted Dial?!Keview MRI reoort JI040 X6036 Denn-Medrol 80m" RT LT Other J3301 X5552 Kenolog !Omg x Other information Supplies/ Drugs not listed: ( 12 ) c.::: 2---, )/ ; /, ) \,,!_.../ v /? I CERTIFY THAT ALL TIIE ' I Return: b c,// ·p-- n.vs Weeks Months Provider Signature I Refer to:
Transcript of doc.bizwan.comdoc.bizwan.com/order/CPT/_common cpt code.pdf · 2014-05-20 · 810.02 Clavicle Fx...
,. . , ... , • 99201 F ocilsed/l O 99211 Minimum/5 99241 Focused.115 ' -99202 F.,.,,anded/20 99212 Focused/IO 99242 Expanded/30 99203 Detailed/30 99213 Exnanded/15 99243 Detriled/40 99204 Comnrehensive/45 !1!1214 Detruledt25 99244 Comorehensive/60 99205 Comolex/60 !l!IZD Comprehensive/40 99245 Comolete/80
llU NC No Ch2 F/M Scheduled Iniection/Other Requested By: -25 Separate FJM, above & beyond NC 99024 Po:st oil Visit/No Charge ·
The nonnal pre/post exam, decision Date of Snmerv: That day for SX (0-10 day global) II . ,. ,. , ...
-24 Same as -25 modifier however E/M A4580 PlaSter 29055 Shoulder soica RT LT W/IN global/separate E/M . i A4590 Fiberglass . 29065 Long arm RT LT
-51 Modifier-57 applies to decision for E0114 Crutches 29075 Short arm RT LT -surgery on 90day day global period , A6266 UnnaBoot . 29085 Gauntlet !hand & lower forearm) Procedures - day of/day before L3260 Post oo Shoe 29086 Finger (el!.· contracture) RT LT
-50 Bilateral Procedure that are performed at A4565 Slinl!S 29105 Long mm svlint RT LT the same operative session A4570 Finger Solint 29125 Short arm SPiint: Static RT LT
-51 Multiple Procedure are performed at the Ll810 Knee Orthoses 29130 Finger solint: static RT LT same session by the same provider Ll906 AFO Mult Ankle 29240 Strapping, shldr RT LT
-58 One replacement cast allow Ll830 KO Immobilizer When 50% of time is with patient, can base F/M L3710 Elbow Ortho Elastic 29260 Strapping; elbow/wrist_ RT LT levd on time. Documoutation must indicate time ~ct with the ... ticotaod anv other reviews. L3908 Wrist Cock-up Non-mold 29280 Strapping; hand /finger RT LT
04003 Shldr cast. nlaster 29305 Hip soica cast· l le2 .. RT LT .. WIOMAN ~IMKNIP (\&005 Lon2 arm cast, plaster 293.25 - I and Y, or both Je..S RT LT
23500 23505 Clavicle M006 Loo2 arm cast, fiber 29345 Long leg cast RT LT . 23600 23605 Humeral neck . \&009 Short arm c;i<t olaster 29365 Cylinder leg cast
23650 Dislocated shldr ·)4010 Short arm casL fiber 29405 Short leg cast RT LT 24500 24505 Humerus ')4013 Gauntlet (forearm/hand), plaster 29425 Short leg cast; walkin!dambulatoiv -. 24650 24655 Radial Head •)4014 ·Gauntlet (forearm/hand), fiber 29435 PTB cast (patellar tendon bearirt!!) 25560 25565 Radius/Ulna 04017 Long arm solint, plaster 29505 Long leg splint RT LT 25600 25605 CollesFx 04018 Long arin splint, fiber 29515 Short leg solint RT LT 25630 25635 Comal bone 04021 Short arm snlint, plaster 29580 Unnaboot RT LT 26600 26605 Meta~.ornal 04022 Short arm splint, fiber 29450 Clubfoot casting RT LT 26720 26725 Fin.,er Phalanx I )4029 Lon2 lei!. nlaster 29720 Renair of sniea bodv cast or iacket 27520 Patella 1 ·14030 Lon2 Jeg_ fiber 29740 Cast wedlrin• 27750 27752 Tibia/Fibula ( 4033 Long leg cvlinder, olaster 29730 Cast windowing 27786 27788 Lat. Malleolus 4034 . Long Jeg_ cvlinder fiber 27808 27810 Bimalleolar Clsd )4037 Short Jeg_ nlaster 27840 Ankle 28400 28405 ·CaJcaneus ( 4038 Short leg; fiber 27250 Hip • 28450 28455 Tarsal ()4041 Long leg snlint, olaster 28660 IP-Toe 28470 28475 Metatarsal ()4042 Long Jeg solint, fiber 27550 Knee 82520 StressFx 04046 Short Leg SPiint, fiber 28630 MTP
04049 Finger snlint, static 27560 Patella EIM bundled when scheduled iniections. L3907 Thumb soica 27830 Tibofibular 20526 Iniection/camal tunnel , ....... ,_ I
20550 Single tendon sheath/lig ( nlantar/facia) 04007 Long aim cast, plaster 76000 Flouroscopy (up to l hr) 20551 Sin1'1e tendon or.nn 04008 Loni? arm cast, fiber 76001 Flouroscopv (more than I hr) 20552 Sin21e/Multi tri2ger pts 1-2 muscle 04011 Short arm c•<f. plaster 77002 Flouroscopy needle l!llidance 20553 Sinele/Multi tri""en>ts 3+ muscle 04012 Short arm r.o<t fiber 77071 Flouroscopy stress views 20600 Small ioint/bursa ( eg. Finger/toes) 04031 Lone leg, olaster 77077 Flouroscopy joint survev 20605 Interm. Jt <tmL ac shldr wrist elbow, ank) 04032 Lone ]el!. fiber 73040 Flouro shoulder arthroor.mhv 20610 Maior it/bursa (shldr, hio, knee, subac) 04033 Long leg cylinder, plaster 73085 Flouro, elbow arthroarnnhv 20612 Amir/Ini ""ng]ion cvst/anv Joe. 04034 Long leg cylinder, fiber 73115 Flouro wrist arthroonmhv
, .. 04039 Short le!!. nlaster 73580 Flo.uro knee arthro=mhv J7321 X7486 Hval/Suoartz 04040 Short leg; fiber 73615 Flouro ankle arthrooronhv · 17325 Svnvisc 04027 Hio snica (one/both), olaster Jl!OO X6004 Dexamethasone Im2 04028 Hip SPica (one/both}, fiber Radiology Technical Comoonent JI020 X6040 Deoo-Medrol 20m2 RT LT 76140 Review Radio/Elsewhere done 11030 X6038 Deno-Medrol 40me RT LT 76499-26 Unlisted Dial?!Keview MRI reoort JI040 X6036 Denn-Medrol 80m" RT LT Other J3301 X5552 Kenolog !Omg x
~
Other information Supplies/ Drugs not listed: ( 12 ) c.::: L~-LP 2---, )/ ; /,) \,,!_.../ v
/?
I CERTIFY THAT ALL TIIE ~-~ ~;: ' r)~ I Return: b ~ c,// ·p-- n.vs Weeks Months Provider Signature I Refer to:
..... __ ~- .... '~
810.02 Clavicle Fx 927.3 Crush-Finger 718.56 Ankvlosis 812.03 Greater Tuberositv Fx 927.20 Crush-Hand 719.56 Arthrofibrosis 812.01 Humerus Neck Fx 727.<l4 DeOuervain's Tenosynovitis 716.86 Arthritis
8U.OO ScaoulaFx 834.01 Dislocation MP 733.43 Avascular Necrosis 812.0l Humerus F>e, s .. ...:cal Neck 834.02 Dislocation PIP 127.Sl Baker'sCvst 812.21 Humerus Fx. Shaft 728.6 Dupuytren's Contracture 726.60 Bursitis· 812.41 Humerus Fx. Sunracondvlar 727.43 Gan11:lionCvst 717.7 Chondromalacia patella 813.41 Distal Radius Fx 736.1 MalletFin2er 717.9 Chandra! Defect, knee 813.83 Both Bone furearm Fx, Closed 883.2 Ooen Wound w/Tendon 755.64 Congenital varum/valrum knees 813.21 Radial Shaft Fx 883.0 Ooen Wound w/o Tendon 718.46 Contracture 812.43 Medial Enicondvle Fx 715.14 Osteoarthritis 924.11 Contusion 812.42 Lateral Eoicondvle Fx 719.44 Pain-Hand 715.16 DID Knee 813.01 Olecranon Fx 719.43 Pain-Wrist 719.06 Effusion 813.05 Radial Head Fx 681.02 Paronvchia 736.41 Gt<iu Valonm-Acouired 813.03 Mont'"".,;aFx 354.3 Radial Neurooathv 736.42 Genu Varum - Acnuired 813.22 Ulna Shaft Fx 842.13 Sprain - IP Joint 719.16 Hemarthrosis 815.00 Meta••mal Fx 842.12 Sorain - MP Joint/Gamekeeper 717.9 Intcma! Derangement 815.01 Bennett's Fx 842.02 Snrain - Radial Carpal 717.6 Loose Body 816.02 Distal Phalanx Fx 842.09 Snrain - Distal Radial Ulnar Joint 996.40 Failed/Dislocated TKRlrHR 816.01 Mid I Prox Phalanx Fx 727.05 Tenosvnovitis 732.4 Os2ood Schlattcr's Disease 814.01 ScanhoidFx 727.03 Trigger Finger 715.36 Osteomyelitis •~~-~or Secondarvl 822.0/1 Patella Fx, Closed/Onen 732.7 Osteocbondritis 808.0 Acetabulum Fx 726.70 Caosulitis 719.46 Pain-Knee 820.21 Intertrochanteric Fx 718.47 Contracture 726.65 Patella Bursitis 820.00 Femoral Neck Fx 924.21 Contusion 836.3 Patella Dislocation/Subluxation 820.09 Femoral Neck Fx, Subcanital 682.6 Cellulitis 726.64 Patella Tendonitis 820.22 Subtrochanteric Fx 715.17 Osteoarthritis 716.46 Patellofemoral Svndrome 821.01 Femur Shaft Fx 730.17 Osteomvelitis 727.83 Plica 821.23 Femur Fx, Suilracondvlar 718.87 Other Joint Deranp;ement NEC 717.81 RuptureLCL 820.20 Greater Trochanter Fx 719.47 Pain-Ankle 717.83 RuntureACL 733.93 Tibia or Fibula Stress Fx 711.07 . Seotic Arthritis 717.82 RuntureMCL 823.22 Tibia & Fibula Shaft Fx 726.71 Tcndonitis 717.84 RunturcPCL 823.20 Tibia Shaft Fx 845.00 Snrain/Strain-un~ified 844.8 Rupture, Ouadricens tendon 823.00 Tibia Plateau Fx ' 845.02 Snrain-Calcaneofibular li2ament 844.8 Rupture, Patella tendon 824.8 PilonFx 845.01 Soran-Deltoid li•arnent 711.06 Septic Arthritis 823.01 Fibula Fx. Proximal I 844.2 Sprain ACIJPCL 823.21 Fibula Fx, Shaft , 727.81 Achilles Tendon Contracture 844.0 SprainLCL 824.4 Bimalleolar Ankle Fx 845.09 Achilles Tendon Sprain/Ruoturc 844.1 SnrainMCL 824.2 Lateral Malleolus Fx, Closed 726.71 Achilles Tendonitis V43.65 SIP Knee Replacement
· 824.0 Medial Malleolus Fx, Closed 733.44 Avascular Necrosis, Talus 727.00 Synovitis 824.6 Trimalleolar Fx 727.1 Bunion Hallux Valgus 726.60 Tendonitis 825.0 CalcaneusFx 726.79 Bursitis 736.6 Tibial torsion 825.25 Metatarsal Fx 682.7 Cellulitis, foot 836.1 Tom Menis~" lateral 825.21 TalusFx 681.1 Cellulitis, toe 836.0 Tom Menic:us. medial 826.0 ToeFx 754.51. Clubfoot 733.95 Stress Fx, un......,;fied 924.20 Contusion 721..3 Arthritis 805.00 Cervical Fie 928.20 Crush-Foot 724.5 Backache - Mechanical 805.2 TboracicFx 736.71 EQuinovarus. acauired. 722.4 Cervical DeR::cnerative Disc Disease 805.4 LumbarFx 736.72 E<!uinus deformity, aC<juired 722.0 Cervical Haniated Disc 805.6 Saaal or ~~~ Fx 917.7 Foreign Body/Splinter 723.l Cetvical Pain · 733.82 Nonunion ofFx 355.3 Foot droo 723.4 Cervical Radiculonathv 733.10 Patholo.ic Fx 785.4 Gangrene 847.0 Cervical Sprain/Strain 733.81 Malunion ofFx 735.2 Hallux R.igidus 724.79 COCCv2odynia ... 735.4 Hammertoe 733.13 Collapse of Vertebra NOS 831.04 AC Senaration 726.73 Heel Spur 724.1 Thoracic Pain 840.0 ACSnrain 726.70 Metatarsalgia 847.1 Thoracic Strain 726.0 Adhesive Caosulitis 754.53 Metatarsus Adductus 721.2 Thorade Spondvlosis 727.62 Bic.ons Runture 355.6 Morton's Neuroma 722.51 Thoracic Degenerative Disc Disease 723.4 Brachia! neuri!Wradiculitis 71537 Osteoarthritis/not spec 722.11 . Thoracic Haniated Disc 726.11 Calcific Tendonitis 730.17 Osteomyelitis 722.52 . Lumbar Degenerative Disc Dfaease 682.3 Cellulitis, arm 719.47 Pain-Foot 722.10 Lumbar Herniated Disc 923.00 Contusion_ Shoulder 681.11 Paronvchia 724.2 Lumbar Pain 831.01 Dislocation Acute Anterior 734 PesPlanus 724.4 Lumbar Radiculooathv 831.02 Dislocation, Acute Posterior 728.71 Plantar Fascitis 738.4 Lumbar Spondylolisthesis 715.11 DID Shoulder 711.07 Sentic Arthritis 756.11 Lumbar Si>ondylolvsis 726.2 lmnirutement Svndr<ime 845.10 Sorain/Strain 721.3 Lumbar Soonilvlosis 718.11 Loose "Rrvru 825.29 Tarsal w/Metatarsal Bonels) 847-2 Lumbar Strain 730.11 Osteomvelitis Clavicle/Scaoula 726.90 Tendonitis 729.1 Myofiiseial Pain Svndrome 730.12 Osteomvelitis Humerus 724.3 Sciatica 719.41 Pain I Shoulder 733.42 Avaseular Necrosis, Femoral Head 737.30 Scoliosis 71831 R=cnt Dislocation. Subluxation. Instabilitv 733.43 A vascular Necrosis, Medial Femoral Coody le 726.10 Rotator Cuff S"'"Arome 726.5 Bursitis I Tendonitis 453.41 DVT. 727.61 Rotator Cuff Tear 924.01 Conb.Jsion . 996.47 Mechanical hardware fiiilure, uns.......;eed 711.01 Seotic Joint 754.33 Conp;enital Subluxation of hips, bilateral 682.9 CeUulitis. un~r ed 840.4 Snrain/Strain Rotator Cuff 754.32 Con2enital Subluxatinn ofbios, unilateral 682.2 Cellulitis, truck 840.9 SLAP 736.31 Coxa Vala aCQuired 682.5 Cellulitis, buttock
. V43.61 SIP Shoulder R ~Iacement 736.32 Coxa Vara, =ired 682.6- Cellulitis, leg 719.21 · Svnovitis 835.00 Dislocation 707.10 Chronic fficer, LE 726.0 Tendonitis 715.15 DID mo 729.6 FB in soft tissues
996.43 Failed Internal FllCation 729.1 Fibromyalgia/fibromvositis · 726.33 Bursitis 755.63 Femoral Anteversion 728.5 Hvnennobilitv svndrome 718.42 Contracture 728.13 HO (post onernrive) 274.9 . Gout 923.11 Contusion 728.10 HO (uns..Cfied) 736.81 LLD, acouired 354.2 Carnal Tunnel Svndrome 996.66 Infected lrnols:nt . 755.30 ll.D, congenital
726.32 Lateral Eoicondvlitis 732.1 J,,.•-Calve-Perthes Disease 355.1 Mera12ia Parasthetica 726.31 Medial Eoicondvlitis 715.15 Osteoarthritis 733.20 Nono~<rl,,,;no Fibroma I UBC I ABC
726.33 Oleera.non Bursitis 715.35 Osteoarthritis, not snP<"it1ed 996.42 Total Joint Dislocation 719.42 Pain-Elbow 730.15 Osteomvelitis 733.00 ·Osteoporosis 841.1 Snrain-Ulnar Collateral 719.45 Pain-Rio 996.44 Pcriprosthetic Fracture 841.0 Sorain-Radial Collateral 732.2 SCFE 996.43 Prosthetic Device Fracture
711.05 Seotic Arthritis 996.41 Prosthetic Loosenimz < Asentic)
886.1 Amoutation Fin2er 843:9 Snrain/Strain Hiofl"hi2b 714.0 Rheumatoid Arthritis 354.0 ~•mal Tunnel Svndrome V43.64 . SfP Hip Reolacement 998.30 Surgical Wnund Dehiscence 354.2 Cubital TWlnel Svndrome 727.00 Svnovitis 355.8 Surgical Neuroma 682.4 Cellulitis 716:15 Traumatic Arthrooathv 998. Other oost-<ioerative comolicalions, NEC 755.50 Conitenital Deformity 924.00 Coatusion
'---, _ _118.44 Contracture Joint 730.15 Osteomyelitis Femur
' 843.9 Strain "'"'> p -,,,
