AMA CPT® Assistant - 2005 Issue 12 (December)
Orthotic Management and Prosthetic Management (December 2005)
December 2005 page 8 Orthotic Management and Prosthetic Management CPT 2006 includes revisions and reorganization of codes in the 97000 series related to services for orthotic and prosthetic management. Prior to 2006, the three available codes describing services related to orthotic and prosthetic management in the 97000 series included the following: 97504 Orthotic(s) fitting and training, upper extremity(ies), lower extremity(ies), and/or trunk, each 15 minutes 97520 Prosthetic training, upper and/or lower extremities, each 15 minutes 97703 Checkout for orthotic/prosthetic use, established patient, each 15 minutes The narrative of the codes prior to the 2006 changes did not fully describe...
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Article Overview
This article explains a CPT coding update affecting orthotic and prosthetic management services for 2006. It is aimed at coders, billers, clinicians, and compliance staff who need to understand how the affected service categories were reorganized, what broad documentation issues were discussed, and how the article frames coordination with HCPCS Level II orthotic reporting.
Why This Topic Matters
Orthotic and prosthetic management services often intersect with device reporting and time-based professional services. This update matters because it summarizes a code reorganization and the related documentation context that coding professionals needed to recognize during the transition year.
Article Sections
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December 2005 page 8
Introductory article placement and publication context.
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Orthotic Management and Prosthetic Management
Discussion of the 2006 CPT reorganization for orthotic and prosthetic management services, including the broader service categories, documentation context, and references to related HCPCS Level II device reporting.
What You Will Learn
- The general scope of the 2006 CPT reorganization affecting orthotic and prosthetic management services
- How the article frames the relationship between CPT service reporting and HCPCS Level II orthotic device reporting
- What broad documentation and follow-up themes are associated with orthotic and prosthetic management services
- How the article distinguishes the major categories of orthotic and prosthetic management content
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Rehabilitation and orthopedic practice staff
- Clinical documentation specialists
Codes Discussed
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