CPT^® 99455, Under Work Related or Medical Disability Evaluation Services

The Current Procedural Terminology (CPT^®) code 99455 as maintained by American Medical Association, is a medical procedural code under the range - Work Related or Medical Disability Evaluation Services.

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Summary

The provider evaluates the patient for any work related or medical reasons. He provides this service to both new and established patients, irrespective of the place of service.

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What is the appropriate use of code 99455?

My Ortho doctor is doing a follow-up visit, a discharge for a patient that he did surgery on for a workers comp case. He has completed forms and evaluated the patient to return to work. This visit is ... [ Read More ]

How and when can 99455 be used?

FMLA paperwork

99455 is for an examination, so definitely not that. 99080 would be more accurate for filling out paperwork. Or you can create your own internal code for this, since it is not being billed to insura... [ Read More ]

FMLA paperwork

For anyone that codes out for physician or non physician filling out FMLA or disability do you code out 99080 or 99455? Thanks.... [ Read More ]

DOT physicals

What is the best CPT code to use for DOT physicals? 99499 or 99455?... [ Read More ]

Code 99455

Is this a code we can only use once on a patient? The patient was seen 6-9 months ago and we used 99455. We didn't do the hernia repair because of COVID. The patient came in this month to be re-eva... [ Read More ]

Workers Comp

In workers' comp it is typical to have an adjuster ask questions about the nature of the injury in terms of causality. This is used to 1) determine whether the employer is responsible (the injury was... [ Read More ]

Billing for time spent writing letter for patient

It would depend on the reason for the letter. If related to a work compensation situation then this is usually covered under 99455/99456. If this is related to another incident then it may be approp... [ Read More ]

How to use "V" modifier when billing 99455....

I've never coded workman's comp cases before and have never used modifier V3 so I'm by no means an expert. But from the quick research I just did it seems like you're using the modifier correctly.. Yo... [ Read More ]

How to use "V" modifier when billing 99455....

I am billing 99455 (disability exam) using a V modifier on a Worker's Comp claim. I have read instructions on how to know which V code to use, for example, if I am billing an E/M code with 99213 - us... [ Read More ]

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