Eli's Rehab Report
Code ROM-Loss Symptoms
Question: If a patient has range-of-motion (ROM) loss, should we report 719.5x (Stiffness of joint) or 718.4x Contracture of joint)? New York Subscriber Answer: The answer depends on your patient's other symptoms, because many conditions can cause range-of-motion loss. Apatient with a back injury or broken leg may experience a decreased range of motion, so you should examine the physician's documentation to determine what may have caused the range-of-motion loss.
For instance, a patient's chart states, "Range of motion in patient's left leg decreased 20 percent since last visit; osteoarthritis is suspected due to family history, ROM loss, stiff joints, and pain on bending knee." In this case, you should report all of the confirmed symptoms: 719.56 (Stiffness of joint; lower leg), 719.46 (Pain in joint; lower leg), and V17.7 (Family history of arthritis).
Eli's Rehab Report
- For Aftercare, Report New V Codes Instead of Surgical Codes
If your rehab practice performs aftercare following surgery or fracture, do not report the surgery [...] - Group Therapy:
Report 97150 Despite Patients Demands
You planned your group therapy (97150) session perfectly to accommodate three patients with similar therapy [...] - You Be the Coder:
Single or Continuous Epidural?
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - News Brief:
2003 Conversion Factor Increased By 1.6 Percent
Although CMS cut the fully implemented nonfacility RVU for 20600* (Arthrocentesis, aspiration and/or injection; small [...] - Reader Question:
Same-Day SI and Facet Injections
Question: Which codes should we report for a sacroiliac (SI) injection on the same day [...] - Reader Question:
You Can Bill Suture Removal Sometimes
Question: Our physiatrist saw a patient in rehab following knee surgery and removed the patient's [...] - Reader Question:
Tendon Injections Differ From TPIs
Question: What are the differences among the codes in the CPT 20550 -CPT [...] - Reader Question:
Report 64999 for Hypogastric Block
Question: How should we code a hypogastric plexus nerve block? Tennessee Subscriber Answer: Because CPT [...] - Reader Question:
Report 64620 for Cryoneurolysis
Question: Which codes should I report for cryoneu-rolysis of the thoracic intercostal nerves at T9, [...] - Reader Question:
Its OK to Report 95870 Per Extremity
Question: How many units of 95870 should we report if the physiatrist performs limited EMG [...] - Reader Question:
Code ROM-Loss Symptoms
Question: If a patient has range-of-motion (ROM) loss, should we report 719.5x (Stiffness of joint) [...] - Reader Question:
Post-Op Pain Management Diagnoses Vary
Question: Medicare denied one of our rehab physician's postoperative pain management claims (the carrier cited [...] - Reader Question:
Report E/M for Oxygen Administration
Question: One of our patients suffered syncope and collapsed in the office. We administered oxygen, [...]
