AMA CPT® Assistant - 2009 Issue 11 (November)

Medicine/Physical Medicine and Rehabilitation (November 2009)

November 2009 page 10c Medicine: Physical Medicine and Rehabilitation, 97010-97028 (Q&A) Question: For a number of the "supervised modality" codes, there is devices-enabling- provision for services-on-location, such as the patient's home. These codes include: 97010Application of a modality to 1 or more areas; hot or cold packs 97012traction, mechanical 97014electrical stimulation (unattended) 97016vasopneumatic devices 97018paraffin bath 97022whirlpool 97024diathermy (eg, microwave); 97026infrared 97028ultraviolet Are these codes appropriate to report in such situation? Answer: No. These codes are used only when supervision is necessary and provided. They do not require the one-on-one supervision of the "constant attendance" codes (97032-97039), but...

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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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