AMA CPT® Assistant - 2017 Issue 12 (December)

Medicine: Osteopathic Manipulative Treatment (Q&A) (December 2017)

December 2017 page 15d Medicine: Osteopathic Manipulative Treatment Question: How should osteopathic manipulative treatment (OMT) of the right shoulder, the right sacroiliac joint (SIJ), the left shoulder, and the left SIJ be reported when each treatment requires separate time for manipulation and separate techniques? Answer: Code 98925, Osteopathic manipulative treatment (OMT); 1-2 body regions involved, is reported for OMT of the right shoulder; the right sacroiliac joint (SIJ); the left shoulder; and the left SIJ, because the upper extremities (UEs) is considered one body region. For the UEs, somatic dysfunction is bilateral. Therefore, if dysfunction is found in both...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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