Eli's Rehab Report
CCI 7.1 Bundles Range-Of-Motion Measurements, Muscle Testing With E/M
Effective April 1, 2001, muscle-testing codes 95831-95834 and range-of-motion measurement codes CPT 95851 -95852 are components of E/M codes. The new national Correct Coding Initiative (CCI) edits list the E/M codes as comprehensive codes of which the muscle-testing and range-of-motion codes are components. These codes are listed with the identifying code of 0, which means modifier -59 (distinct procedural service) cannot be used to bill them separately.
For many practices, this may not be different from how insurers paid for these claims in the past. Most Medicare carriers policies for these codes stated that testing and examination is an integral part of a musculoskeletal examination and is inclusive in the evaluation and management service codes. However, the CCI policy now makes the edits official.
Eli's Rehab Report
- Coordinating Care Is Key When Coding Therapy for Prosthetics Patients
Because treating amputees involves numerous medical caregivers, some coders are confused about how to bill [...] - Include Mini-mental Exams in E/M Service To Avoid Improper Billing
Physical medicine and rehabilitation practices that frequently perform mini-mental status examinations (MMSEs) on patients suffering [...] - You Be the Coder:
Range-of-Motion Tests
Question: Is it permissible to bill two units of CPT 95851 when two [...] - News Brief:
CCI 7.1 Bundles Range-Of-Motion Measurements, Muscle Testing With E/M
Effective April 1, 2001, muscle-testing codes 95831-95834 and range-of-motion measurement codes CPT 95851 - - Reader Question:
Coding for Aircast
Question: What is the correct code for setting up an aircast for a patient with [...] - Reader Question:
Two Hospital Visits, Same Day
Question: The physiatrist I work for visited a stroke patient in the neurological unit of [...] - Reader Question:
Multiple Injuries
Question: I treated a patient for a left hand sprain and right hand injury, which [...] - Reader Question:
Anesthetic Injections
Question: We are having trouble getting paid for Marcaine when used as an injected local [...] - Reader Question:
Injections Given By Nurse
Question: When our nurse gives injections to patients, we normally bill CPT 99211 [...] - Reader Question:
No-trauma Auto Accidents
Question: One of our patients, who is in rehabilitation from a stroke, was in a [...]
