Re: CPT coding and billing questions.

[Guest guest]

We have been told (by our intermediary, ) that 29105-29280 are ok, but

not the LE equivalent, 29345-29550. it was in a seminar, and good

justification was not provided. I bet this is a point one could win with

good rationale.

Sue Lauer

Valhalla NY

Westchester Medical Center

> CPT coding and billing questions.

>

> Assuming physicians wrote the CPT code book, and physicians have

> multiple

> CPT codes regarding evaluations (initial visit), and P.T.s have only

> one

> evaluation code, would one be justified in adding one or more of CPT

> code

> 95831 to 95834 and/or 95851-95852 and/or 97750 (MMT, ROM, physical

> performance test) to the basic eval codes.

>

> Example: eval of a s/p ACL repair would include:

> 97001 eval

> 97750 Physical Performance test

> 95831 MMT, 1 extremity

> 95851 ROM, 1 extremity

>

> (in our geographical area this would get a reimbursement of $88.43 vs

> $59.91 for eval only)

>

>

> Secondly, have any OTs or PTs considered using CPT codes 29200-29550

> for

> strapping/taping and 29105-29131 for static/dynamic splints?

>

> Deering, Greg Znajda

> Rush North Shore Medical Center

>

>

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