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Clinic East > CPT codes > Flashcards

CPT codes Flashcards

1
Q

97010

A

Application of a modality to one or more areas; hot or cold packs. Supervised

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2
Q

97012

A

Application of a modality to one or more areas; traction, mechanical. Supervised

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3
Q

97014

A

Application of a modality to one or more areas; electrical stimulation. Supervised

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4
Q

97016

A

Application of a modality to one or more areas; vasopneumatic devices. Supervised

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5
Q

97018

A

Application of a modality to one or more areas; paraffin bath. Supervised

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6
Q

97022

A

Application of a modality to one or more areas; whirpool. Supervised

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7
Q

97024

A

Application of a modality to one or more areas; diathermy (microwave). Supervised

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8
Q

97026

A

Application of a modality to one or more areas; infrared. Supervised

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9
Q

97028

A

Application of a modality to one or more areas; ultraviolet. Supervised

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10
Q

97032

A

Application of a modality to one or more areas; electrical stimulation (manual), each 15 mins. Constant attendance

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11
Q

97033

A

Application of a modality to one or more areas; iontophoresis, each 15 mins. Constant attendance

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12
Q

97034

A

Application of a modality to one or more areas; Contrast baths, each 15 mins. Constant attendance

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13
Q

97035

A

Application of a modality to one or more areas; ultrasound, each 15 mins. Constant attendance

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14
Q

97036

A

Application of a modality to one or more areas; Hubbard tank, each 15 mins. Constant attendance

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15
Q

97039

A

Unlisted modality (specify type and time if constant attendance)

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16
Q

Therapeutic procedures require:

A
  1. Time based

2. Direct one-on-one individual contact with health care provider

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17
Q

97110

A

Therapeutic procedure, one or more areas, each 15 mins; therapeutic exercises to develop strength, endurance, ROM and flexibility

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18
Q

97112

A

Therapeutic procedure, one or more areas, each 15 mins; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities

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19
Q

97113

A

Therapeutic procedure, one or more areas, each 15 mins; aquatic therapy with therapeutic exercises

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20
Q

99212

A 
Established patient: must have 2 of 3:
1. Problem focused history
2. Problem focused examination
3. Straightforward medical decision making
~10 mins face time
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21
Q

99213

A

Established patient: must have 2 of 3:
1. an expanded problem focused history
2. an expanded problem focused examination
3. medical decision-making of low complexity
~15 mins face time

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22
Q

99214

A 
Established patient: Must have 2 of 3
1. Detailed history
2. Detailed examination
3. Medical decision making of moderate complexity
~25 mins face time
23
Q

99215

A 
Established patient: Must have 2 of 3:
1. Comprehensive history
2. comprehensive examination
3. medical decision making of high complexity
~40 mins face time
24
Q

99202

A 
New patient: must have:
1. expanded problem focused history
2. expanded problem focused examination
3. straightforward medical decision making
~20 mins face time
25
Q

99203

A 
New patient: must have:
1. Detailed history
2. detailed examination
3. medical decision making of low complexity
~30 mins face time
26
Q

99204

A 
New patient: Must have:
1. Comprehensive history
2. Comprehensive examination
3. medical decision making if moderate complexity
~45 mins face time
27
Q

99205

A 
New patient: Must have:
1. Comprehensive history
2. Comprehensive examination
3. medical decision making if highcomplexity
~60 mins face time
28
Q

How long before someone is no longer an established patient?

A

3 years

29
Q

99211

A

Established patient: may not require the presence of a physician. Minimal problem(s). Typically 5 mins supervising

30
Q

G0283

A

Electrical stimulation (unattended) to one or more areas for indications other than wound care, as part of a therapy plan of care.

31
Q

99201

A 
New patient: Must have:
1. Problem focused history
2. Problem focused examination
3. straightforward medical decision making
~10 mins face time
32
Q

97116

A

Therapeutic procedure, one or more areas, each 15 mins; gait training (includes stair climbing)

33
Q

97124

A

Therapeutic procedure, one or more areas, each 15 mins; massage, including elleurage, patrissage and/or tapotement (stroking, compression, percussion)

34
Q

97139

A

Unlisted therapeutic procedure (specify)

35
Q

97140

A

Manual therapy techniques (e.g mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each of 15 mins

36
Q

97150

A

Therapeutic procedure(s), group (2 or more individuals)

37
Q

97530

A

Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 mins

38
Q

97532

A

Development of cognitive skills to improve attention, memory, problem solving, (includes compensatory training), direct (one-on-one) patient contact by the provider, each 15 mins

39
Q

97533

A

Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact by the provider, each 15 mins

40
Q

97535

A

Self care/Home management training (e.g. ADLs, compensatory training, meal preparation, safety procedures, instructions in use of assistive technology devices/adaptive equipment). Direct one-on-one contact by the provider, each of 15 mins

41
Q

97537

A

Community/work reintegration training (shopping, transport, money management, avocational activities, work modification, work task analysis) Direct one-on-one contact with provider, each 15 mins

42
Q

97542

A

Wheelchair management (assessment, fitting, training), each 15 mins

43
Q

97545

A

Work hardening/conditioning; initial 2 hours

44
Q

97546

A

Work hardening/conditioning; each additional hour (list separately in addition to code for primary procedure)

45
Q

Modifier 59

A
  1. Distinct procedural service, not usually reported together but appropriate under the circumstances.
  2. Must be in first position if other modifiers are used
  3. Performed on separate body region than manipulation
  4. XE: separate encounter, XS: separate anatomical sight/injury, XP: separate provider, XU: unusual service
46
Q

Modifier 25

A
  1. Significant, separately identifiable eval and management service on same day as procedure
  2. Example: when you EXAMINE and TREAT on the same visit
47
Q

Modifier 52

A
  1. Reduced services:
  2. Service described as “bilateral” but only worked on one side
  3. Procedures aborted after beginning due to patients condition
48
Q

97802

A

Medical Nutrition Therapy: Initial assessment, intervention, individual, face-to-face with patient

49
Q

97803

A

Nutritional reassessment: And intervention, individual, face-to-face with patient

50
Q

Taping

A

97039 (unlisted) or A4450 (and not make it a timed code)

51
Q

98940

A

Spinal manipulation 1-2 regions

52
Q

98941

A

Spinal manipulation 3-4 regions

53
Q

98942

A

Spinal manipulation 5+ regions

54
Q

98943

A

Extra spinal manipulation

Clinic East (1 decks)

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