tci E/M Coding Alert - 2017 Issue 6

Reader Question: Learn When to Bill E/M with 29530

Question: After evaluating an established patient’s sprain of the medial collateral ligament (M23.52) of her left knee, the orthopedist recommended conservative treatment and decided to apply a derotation knee orthosis (brace) that is molded to her morphology. Can I report an E/M code for the visit, and what code would I report for the orthopedist applying the knee brace? Georgia Subscriber Answer: The CPT®code you would use for the physician applying the brace is 29530 (Strapping; knee). And yes, if the physician evaluated the patient’s knee and the service met the key components of an...

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