AMA CPT® Assistant - 2010 Issue 5 (May)

Medicine: Physical Medicine and Rehabilitation (Q&A) (May 2010)

May 2010 page 9b Medicine: Physical Medicine and Rehabilitation (Q&A) Question: Is it appropriate to report codes 97110-97124, if the procedure were performed at the same region as Chiropractic Manipulative Treatment (CMT)? Answer: Yes. The physical medicine and rehabilitation procedure codes, 97110-97124, represent distinctly separate and unrelated procedures, which are not considered inclusive of CMT as described by codes 98940-98943. Therefore, when the procedure is distinct from the manipulation, it would be appropriate to report codes 97110-97124 in addition to CMT, when performed at the same anatomic site (ie, separate body regions are not required). Question: Would it...

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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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