ELBOW REPLACEMENT SURGERY (ARTHROPLASTY)
|
|
- Eugene Robbins
- 8 years ago
- Views:
Transcription
1 Protocol: ORT014 Effective Date: August 1, 2015 ELBOW REPLACEMENT SURGERY (ARTHROPLASTY) Table of Contents Page COMMERCIAL, MEDICARE & MEDICAID COVERAGE RATIONALE... 1 U.S. FOOD AND DRUG ADMINISTRATION (FDA)... 2 APPLICABLE CODES... 3 PROTOCOL HISTORY/REVISION INFORMATION INSTRUCTIONS FOR USE This protocol provides assistance in interpreting UnitedHealthcare benefit plans. When deciding coverage, the enrollee specific document must be referenced. The terms of an enrollee's document (e.g., Certificate of Coverage (COC) or Evidence of Coverage (EOC)) may differ greatly. In the event of a conflict, the enrollee's specific benefit document supersedes this protocol. All reviewers must first identify enrollee eligibility, any federal or state regulatory requirements and the plan benefit coverage prior to use of this Protocol. Other Protocols, Policies and Coverage Determination Guidelines may apply. UnitedHealthcare reserves the right, in its sole discretion, to modify its Protocols, Policies and Guidelines as necessary. This protocol is provided for informational purposes. It does not constitute medical advice. UnitedHealthcare may also use tools developed by third parties, such as the MCG Care Guidelines, to assist us in administering health benefits. The MCG Care Guidelines are intended to be used in connection with the independent professional medical judgment of a qualified health care provider and do not constitute the practice of medicine or medical advice. COMMERCIAL, MEDICARE & MEDICAID COVERAGE RATIONALE For information regarding medical necessity review, when applicable, see MCG Care Guidelines, 19th edition, 2015, Elbow Arthroplasty, S-420 (ISC), Accessed June Clinical Indications are listed below: Elbow Arthroplasty, S-420 (ISC) Clinical Indications for Procedure Procedure is indicated for 1 or more of the following: 1. Rheumatoid arthritis treatment indicated by ALL of the following: Failure of alternative treatments (eg, pharmacotherapy, cortisone injections, synovectomy) Pain or loss of function resulting in inability to perform activities of daily living 2. Inability to perform activities of daily living due to 1 or more of the following: Ankylosis of the elbow or other advanced disease causing loss of function Elbow Replacement Surgery (Arthroplasty) Page 1 of 13
2 Posttraumatic arthrosis causing pain or loss of function Supracondylar causing loss of function 3. Joint instability from tumor resection or other destructive process 4. Hemophilic arthropathy 5. Comminuted distal humerus fracture and ALL of the following: Patient older than 65 years of age Patient with osteopenia 6. Complex fracture of radial head 7. Elbow dislocation with fracture of the radial head and coronoid process ("terrible triad fracture") 8. Displaced intra-articular distal humerus fracture and 1 or more of the following: Osteoporosis Fracture not amenable to internal fixation 9. Revision of failed elbow arthroplasty *** End of MCG Medicare does not have a National Coverage Determination (NCD) for Elbow Replacement. Local Coverage Determinations (LCDs) do not exist at this time. (Accessed June 2015) For Medicare and Medicaid Determinations Related to States Outside of Nevada: Please review Local Coverage Determinations that apply to other states outside of Nevada. Important Note: Please also review local carrier Web sites in addition to the Medicare Coverage database on the Centers for Medicare and Medicaid Services Website. U.S. FOOD AND DRUG ADMINISTRATION (FDA) Elbow replacement surgery is a procedure and therefore is not regulated by the FDA. However, devices and instruments used during the surgery require FDA approval. See the following website for additional information (product codes JDC and KWI): Accessed June FDA-approved total or partial elbow replacement surgery devices are generally approved for the same indications, including any or all of the following: Non-inflammatory degenerative joint disease such as osteoarthritis Rheumatoid arthritis Post-traumatic arthritis, tumor or bone loss causing elbow instability Complex fracture(s) of elbow components Ankylosis Revision of failed elbow replacement surgery Correction of functional deformity Elbow Replacement Surgery (Arthroplasty) Page 2 of 13
3 APPLICABLE CODES The codes listed in this policy are for reference purposes only. Listing of a service or device code in this policy does not imply that the service described by this code is a covered or non-covered health service. Coverage is determined by the benefit document. This list of codes may not be all inclusive. CPT Codes Arthroplasty, elbow; with membrane (e.g., fascial) Arthroplasty, elbow; with distal humeral prosthetic replacement Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (e.g., total elbow Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component CPT is a registered trademark of the American Medical Association ICD-9 Procedure Codes Total Elbow Replacement ICD-9 Diagnosis Codes Malignant neoplasm of bone and articular cartilage; Scapula and long bones of upper limb Rheumatoid arthritis Polyarticular juvenile rheumatoid arthritis, chronic or unspecified Other specified inflammatory polyarthropathies Primary localized osteoarthrosis, upper arm Secondary localized osteoarthrosis, upper arm Localized osteoarthrosis not specified whether primary or secondary, upper arm Osteoarthrosis, unspecified whether generalized or localized, upper arm Traumatic arthropathy, upper arm Ankylosis of upper arm joint Other joint derangement, not elsewhere classified, upper arm Juvenile osteochondrosis of upper extremity Nonunion of fracture ICD-10 Codes (Preview Draft) In preparation for the transition from ICD-9 to ICD-10 medical coding on October 1, 2015*, a sample listing of the ICD-10 CM and/or ICD-10 PCS codes associated with this policy has been provided below for your reference. This list of codes may not be all inclusive and will be updated to reflect any Elbow Replacement Surgery (Arthroplasty) Page 3 of 13
4 applicable revisions to the ICD-10 code set and/or clinical guidelines outlined in this policy. *The effective date for ICD-10 code set implementation is subject to change. ICD-10 Diagnosis M Other specified rheumatoid arthritis, right elbow M Other specified rheumatoid arthritis, left elbow M Other specified rheumatoid arthritis, unspecified elbow M Unspecified juvenile rheumatoid arthritis, right elbow M Unspecified juvenile rheumatoid arthritis, left elbow M Unspecified juvenile rheumatoid arthritis, unspecified elbow M Juvenile rheumatoid arthritis with systemic onset, right elbow M Juvenile rheumatoid arthritis with systemic onset, left elbow M Juvenile rheumatoid arthritis with systemic onset, unspecified elbow M Other juvenile arthritis, right elbow M Other juvenile arthritis, left elbow M Other juvenile arthritis, unspecified elbow M Juvenile arthritis, unspecified, right elbow M Juvenile arthritis, unspecified, left elbow M Juvenile arthritis, unspecified, unspecified elbow M Traumatic arthropathy, right elbow M Traumatic arthropathy, left elbow M Traumatic arthropathy, unspecified elbow M Primary osteoarthritis, right elbow M Primary osteoarthritis, left elbow M Primary osteoarthritis, unspecified elbow M Post-traumatic osteoarthritis, right elbow M Post-traumatic osteoarthritis, left elbow M Post-traumatic osteoarthritis, unspecified elbow M Secondary osteoarthritis, right elbow M Secondary osteoarthritis, left elbow M Secondary osteoarthritis, unspecified elbow M Ankylosis, right elbow M Ankylosis, left elbow M Ankylosis, unspecified elbow M Other specific joint derangements of right elbow, not elsewhere classified M Other specific joint derangements of left elbow, not elsewhere classified M Other specific joint derangements of unspecified elbow, not elsewhere classified M Flail joint, right elbow M Flail joint, left elbow M Flail joint, unspecified elbow M Other instability, right elbow M Other instability, left elbow Elbow Replacement Surgery (Arthroplasty) Page 4 of 13
5 M Other instability, unspecified elbow M80.021K Age-related osteoporosis with current pathological fracture, right humerus, M80.022K Age-related osteoporosis with current pathological fracture, left humerus, M80.029K Age-related osteoporosis with current pathological fracture, unspecified humerus, M80.821K Other osteoporosis with current pathological fracture, right humerus, M80.822K Other osteoporosis with current pathological fracture, left humerus, M80.829K Other osteoporosis with current pathological fracture, unspecified humerus, M84.321K Stress fracture, right humerus, subsequent encounter for fracture with M84.322K Stress fracture, left humerus, subsequent encounter for fracture with M84.329K Stress fracture, unspecified humerus, subsequent encounter for fracture with M84.421K Pathological fracture, right humerus, subsequent encounter for fracture with M84.422K Pathological fracture, left humerus, subsequent encounter for fracture with M84.429K Pathological fracture, unspecified humerus, subsequent encounter for fracture with M84.521K Pathological fracture in neoplastic disease, right humerus, subsequent M84.522K Pathological fracture in neoplastic disease, left humerus, subsequent M84.529K Pathological fracture in neoplastic disease, unspecified humerus, subsequent M84.621K Pathological fracture in other disease, right humerus, subsequent encounter for fracture with M84.622K Pathological fracture in other disease, left humerus, subsequent encounter for fracture with M84.629K Pathological fracture in other disease, unspecified humerus, subsequent M92.00 Juvenile osteochondrosis of humerus, unspecified arm M92.01 Juvenile osteochondrosis of humerus, right arm M92.02 Juvenile osteochondrosis of humerus, left arm S42.441K Displaced fracture (avulsion) of medial epicondyle of right humerus, S42.442K Displaced fracture (avulsion) of medial epicondyle of left humerus, Elbow Replacement Surgery (Arthroplasty) Page 5 of 13
6 S42.443K S42.444K S42.445K S42.446K S42.447K S42.448K S42.449K S42.451A S42.452A S42.453A S42.454A S42.455A S42.456A S42.461B S42.461K S42.462K S42.463K S42.464K S42.465K S42.466K S42.471K Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, Incarcerated fracture (avulsion) of medial epicondyle of right humerus, Incarcerated fracture (avulsion) of medial epicondyle of left humerus, Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, Displaced fracture of lateral condyle of right humerus, initial encounter for closed fracture Displaced fracture of lateral condyle of left humerus, initial encounter for closed fracture Displaced fracture of lateral condyle of unspecified humerus, initial encounter for closed fracture Nondisplaced fracture of lateral condyle of right humerus, initial encounter for closed fracture Nondisplaced fracture of lateral condyle of left humerus, initial encounter for closed fracture Nondisplaced fracture of lateral condyle of unspecified humerus, initial encounter for closed fracture Displaced fracture of medial condyle of right humerus, initial encounter for open fracture Displaced fracture of medial condyle of right humerus, subsequent encounter for fracture with Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with Displaced fracture of medial condyle of unspecified humerus, subsequent Nondisplaced fracture of medial condyle of right humerus, subsequent Nondisplaced fracture of medial condyle of left humerus, subsequent Nondisplaced fracture of medial condyle of unspecified humerus, subsequent Displaced transcondylar fracture of right humerus, subsequent encounter for fracture with Elbow Replacement Surgery (Arthroplasty) Page 6 of 13
7 S42.472K S42.473K S42.474K S42.475K S42.476K S42.481K S42.482K S42.489K S42.491K S42.492K S42.493K S42.494K S42.495K S42.496K S49.101K S49.102K S49.109K S49.111A S49.111K S49.112K S49.119K S49.121K Displaced transcondylar fracture of left humerus, subsequent encounter for fracture with Displaced transcondylar fracture of unspecified humerus, subsequent Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with Nondisplaced transcondylar fracture of left humerus, subsequent encounter for fracture with Nondisplaced transcondylar fracture of unspecified humerus, subsequent Torus fracture of lower end of right humerus, subsequent encounter for fracture with Torus fracture of lower end of left humerus, subsequent encounter for fracture with Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with Other displaced fracture of lower end of right humerus, subsequent encounter for fracture with Other displaced fracture of lower end of left humerus, subsequent Other displaced fracture of lower end of unspecified humerus, subsequent Other nondisplaced fracture of lower end of right humerus, subsequent Other nondisplaced fracture of lower end of left humerus, subsequent Other nondisplaced fracture of lower end of unspecified humerus, subsequent Unspecified physeal fracture of lower end of humerus, right arm, subsequent Unspecified physeal fracture of lower end of humerus, left arm, subsequent Unspecified physeal fracture of lower end of humerus, unspecified arm, Salter-Harris Type I physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture Salter-Harris Type I physeal fracture of lower end of humerus, right arm, Salter-Harris Type I physeal fracture of lower end of humerus, left arm, Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm, Salter-Harris Type II physeal fracture of lower end of humerus, right arm, Elbow Replacement Surgery (Arthroplasty) Page 7 of 13
8 S49.122K S49.129K S49.131K S49.132K S49.139K S49.141K S49.142K S49.149K S49.191K S49.192K S49.199K S52.019K S52.021K S52.021M S52.021N S52.022K S52.022M S52.022N S52.023K S52.023M Salter-Harris Type II physeal fracture of lower end of humerus, left arm, Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, Salter Harris Type III physeal fracture of lower end of humerus, right arm, Salter Harris Type III physeal fracture of lower end of humerus, left arm, Salter Harris Type III physeal fracture of lower end of humerus, unspecified arm, Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, Other physeal fracture of lower end of humerus, right arm, subsequent Other physeal fracture of lower end of humerus, left arm, subsequent Other physeal fracture of lower end of humerus, unspecified arm, subsequent Torus fracture of upper end of unspecified ulna, subsequent encounter for fracture with right ulna, subsequent encounter for closed fracture with right ulna, subsequent encounter for open fracture type I or II with right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with left ulna, subsequent encounter for closed fracture with left ulna, subsequent encounter for open fracture type I or II with left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with unspecified ulna, subsequent encounter for closed fracture with unspecified ulna, subsequent encounter for open fracture type I or II with Elbow Replacement Surgery (Arthroplasty) Page 8 of 13
9 S52.023N S52.024A S52.024K S52.024M S52.024N S52.025A S52.025K S52.025M S52.025N S52.026A S52.026K S52.026M S52.026N S52.031A S52.031K S52.031M S52.031N S52.032A unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with of right ulna, initial encounter for closed fracture of right ulna, subsequent encounter for closed fracture with of right ulna, subsequent encounter for open fracture type I or II with of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with of left ulna, initial encounter for closed fracture of left ulna, subsequent encounter for closed fracture with of left ulna, subsequent encounter for open fracture type I or II with of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with of unspecified ulna, initial encounter for closed fracture of unspecified ulna, subsequent encounter for closed fracture with of unspecified ulna, subsequent encounter for open fracture type I or II with of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Displaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for closed fracture Displaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with Displaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with Displaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Displaced fracture of olecranon process with intraarticular extension of left Elbow Replacement Surgery (Arthroplasty) Page 9 of 13
10 S52.032K S52.032M S52.032N S52.033A S52.033K S52.033M S52.033N S52.034A S52.034K S52.034M S52.034N S52.035A S52.035K S52.035M S52.035N S52.036A S52.036K S52.036M ulna, initial encounter for closed fracture Displaced fracture of olecranon process with intraarticular extension of left ulna, subsequent encounter for closed fracture with Displaced fracture of olecranon process with intraarticular extension of left ulna, subsequent encounter for open fracture type I or II with Displaced fracture of olecranon process with intraarticular extension of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, initial encounter for closed fracture Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with right ulna, initial encounter for closed fracture right ulna, subsequent encounter for closed fracture with right ulna, subsequent encounter for open fracture type I or II with right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with left ulna, initial encounter for closed fracture left ulna, subsequent encounter for closed fracture with left ulna, subsequent encounter for open fracture type I or II with left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with unspecified ulna, initial encounter for closed fracture unspecified ulna, subsequent encounter for closed fracture with unspecified ulna, subsequent encounter for open fracture type I or II with Elbow Replacement Surgery (Arthroplasty) Page 10 of 13
11 S52.036N S52.041K S52.041M S52.041N S52.042K S52.042M S52.042N S52.043K S52.043M S52.043N S52.044K S52.044M S52.044N S52.045B S52.045C S52.045K S52.045M S52.045N S52.046K S52.046M S52.046N unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Displaced fracture of coronoid process of right ulna, subsequent encounter for closed fracture with Displaced fracture of coronoid process of right ulna, subsequent encounter for open fracture type I or II with Displaced fracture of coronoid process of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Displaced fracture of coronoid process of left ulna, subsequent encounter for closed fracture with Displaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type I or II with Displaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Displaced fracture of coronoid process of unspecified ulna, subsequent encounter for closed fracture with Displaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type I or II with Displaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Nondisplaced fracture of coronoid process of right ulna, subsequent encounter for closed fracture with Nondisplaced fracture of coronoid process of right ulna, subsequent encounter for open fracture type I or II with Nondisplaced fracture of coronoid process of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Nondisplaced fracture of coronoid process of left ulna, initial encounter for open fracture type I or II Nondisplaced fracture of coronoid process of left ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC Nondisplaced fracture of coronoid process of left ulna, subsequent encounter for closed fracture with Nondisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type I or II with Nondisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Nondisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for closed fracture with Nondisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type I or II with Nondisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Elbow Replacement Surgery (Arthroplasty) Page 11 of 13
12 S52.121K S52.121M S52.121N S52.122C S52.122K S52.122M S52.122N S52.123K S52.123M S52.123N S52.124K S52.124M S52.124N S52.125K S52.125M S52.125N S52.126K S52.126M S52.126N S52.271K S52.271M S52.271N Displaced fracture of head of right radius, subsequent encounter for closed fracture with Displaced fracture of head of right radius, subsequent encounter for open fracture type I or II with Displaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Displaced fracture of head of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC Displaced fracture of head of left radius, subsequent encounter for closed fracture with Displaced fracture of head of left radius, subsequent encounter for open fracture type I or II with Displaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Displaced fracture of head of unspecified radius, subsequent encounter for closed fracture with Displaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with Displaced fracture of head of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Nondisplaced fracture of head of right radius, subsequent encounter for closed fracture with Nondisplaced fracture of head of right radius, subsequent encounter for open fracture type I or II with Nondisplaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Nondisplaced fracture of head of left radius, subsequent encounter for closed fracture with Nondisplaced fracture of head of left radius, subsequent encounter for open fracture type I or II with Nondisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Nondisplaced fracture of head of unspecified radius, subsequent encounter for closed fracture with Nondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with Nondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Monteggia's fracture of right ulna, subsequent encounter for closed fracture with Monteggia's fracture of right ulna, subsequent encounter for open fracture type I or II with Monteggia's fracture of right ulna, subsequent encounter for open fracture Elbow Replacement Surgery (Arthroplasty) Page 12 of 13
13 S52.272K S52.272M S52.272N S52.279K S52.279M S52.279N 0RRL 0RRL07Z 0RRL0JZ 0RRL0KZ 0RRM 0RRM07Z 0RRM0JZ 0RRM0KZ type IIIA, IIIB, or IIIC with Monteggia's fracture of left ulna, subsequent encounter for closed fracture with Monteggia's fracture of left ulna, subsequent encounter for open fracture type I or II with Monteggia's fracture of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Monteggia's fracture of unspecified ulna, subsequent encounter for closed fracture with Monteggia's fracture of unspecified ulna, subsequent encounter for open fracture type I or II with Monteggia's fracture of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with Replacement / Elbow Joint, Right Replacement of Right Elbow Joint with Autologous Tissue Substitute, Open Approach Replacement of Right Elbow Joint with Synthetic Substitute, Open Approach Replacement of Right Elbow Joint with Nonautologous Tissue Substitute, Open Replacement / Elbow Joint, Left Replacement of Left Elbow Joint with Autologous Tissue Substitute, Open Approach Replacement of Left Elbow Joint with Synthetic Substitute, Open Approach Replacement of Left Elbow Joint with Nonautologous Tissue Substitute, Open Approach PROTOCOL HISTORY/REVISION INFORMATION Date 06/25/ /25/ /24/ /25/ /28/ /26/ /23/2012 Action/ Corporate Medical Affairs Committee The foregoing Health Plan of Nevada/Sierra Health & Life Health Operations protocol has been adopted from an existing UnitedHealthcare coverage determination guideline that was researched, developed and approved by the UnitedHealthcare Coverage Determination Committee. Elbow Replacement Surgery (Arthroplasty) Page 13 of 13
I. Ankle and Foot Orthotics: (AFO) are considered medical necessary when One or more of the following are met:
Moda Health Plan, Inc. Medical Necessity Criteria Subject: Origination Date: 05/2015 Revision Date(s): Developed By: Medical Criteria Committee Effective 07/01/2015 Ankle-Foot Orthotics (AFO) Page 1 of
More informationFast Forward. ICD-9-CM Code ICD-10-CM Code(s) ICD-9-CM Code ICD-10-CM Code(s) Codes. (cont.) 719.41 Pain in joint, shoulder region.
Top 50 Orthopaedics IC-9-CM Code Code(s) IC-9-CM Code Code(s) 724.2 Lumbago M54.5 Low back pain (Lumbago, NO) M54.40 Lumbago with sciatica, unspecified site M54.41 Lumbago with sciatica, right side M54.42
More informationRHEUMATOLOGY ICD-10 CROSSWALK
RHEUMATOLOGY ICD-10 CROSSWALK ICD is revised periodically and is currently in its tenth edition and will be implemented in the United States on October 1, 2015. There is an annual minor update and three-yearly
More informationNational Joint Replacement Registry. Demographics and Outcome of Elbow & Wrist Arthroplasty
National Joint Replacement Registry Demographics and Outcome of Elbow & Wrist Arthroplasty SUPPLEMENTARY REPORT 2015 CONTENTS INTRODUCTION... 1 ELBOW REPLACEMENT... 2 Categories of Elbow Replacement...
More informationICD-10 IS COMING OCTOBER 1, 2014
ICD-10 IS COMING OCTOBER 1, 2014 WHAT IS THE IMPACT ON THERAPY PRACTICES? CHET DESHMUKH, MBA, OTR/L, CPC, CHDA Overview Understanding the language of clinical diagnosis What is ICD? About ICD-9 CM Good
More informationICD-9 and ICD-10 ORTHOPEDIC
ICD-9 and ICD-10 ORTHOPEDIC Payers and Providers Partnering for Success Shannon Chase, CPC, AHIMA Approved ICD-10-CM/PCS Trainer July 2014 ICD-9 & ICD-10 - ORTHOPEDIC AGENDA Importance of Documentation
More informationRheumatology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Rheumatology
Rheumatology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Rheumatology Chapter 12: Diseases of Skin and Subcutaneous Tissue ICD-10-CM introduces a new term, androgenic alopecia. Pressure
More informationUMBILICAL CORD BLOOD HARVESTING & STORAGE
Protocol: TRP009 Effective Date: October 14, 2013 UMBILICAL CORD BLOOD HARVESTING & STORAGE Table of Contents Page COMMERCIAL, MEDICARE & MEDICAID COVERAGE RATIONALE... 1 BACKGROUND... 2 CLINICAL EVIDENCE...
More informationModel Coverage Determination: Total Joint Arthroplasty
Model Coverage Determination: Total Joint Arthroplasty LCD ID Number LCD Title Major Joint Replacement (Hip and Knee) Indications and Limitations of Coverage and/or Medical Necessity Joint replacement
More informationCPT 2014 Update & ICD-10: Orthopedic Surgery sponsored by CHMB December 18 th, 2013
CPT 2014 Update & ICD-10: Orthopedic Surgery sponsored by CHMB December 18 th, 2013 CHMB Corporate Overview Founded in 1995 o Privately Held, Profitable and P.E. Funded for Rapid Growth o Inc. 5000 Fastest
More informationICD-10 Specified or Unspecified?
206-478-8227 www.healthdataconsulting.com joenichols@healthdataconsulting.com ICD-10 Specified or Unspecified? Joseph C Nichols MD Principal The information provided in this whitepaper is the exclusive
More informationM05.9 Rheumatoid arthritis with rheumatoid factor, unspecified M06.00 Rheumatoid arthritis without rheumatoid factor, unspecified site M06.
Rheumatology ICD-9 ICD-10 V58.69 Z79.3 Long term (current) use of hormonal contraceptives Z79.891 Long term (current) use of opiate analgesic Z79.899 Other long term (current) drug therapy 714.0 M05.40
More informationKNEE ARTHROSCOPY. Effective Date: March 24, 2014 Review Dates: 4/11, 4/12, 4/13, 5/14, 5/15
KNEE ARTHROSCOPY MEDICAL POLICY Effective Date: March 24, 2014 Review Dates: 4/11, 4/12, 4/13, 5/14, 5/15 Date Of Origin: April 13, 2011 Status: Current I. POLICY/CRITERIA Knee arthroscopy is covered for
More informationAMBULANCE SERVICES. Table of Contents
AMBULANCE SERVICES Protocol: MSC023 Effective Date: 4/1/2015 Table of Contents Page COMMERCIAL COVERAGE RATIONALE... 1 MEDICARE & MEDICAID COVERAGE RATIONALE... 4 DEFINITIONS... 4 APPLICABLE CODES... 5
More informationManagement of common upper limb fractures in Adults and Children. Dr Matthew Sherlock Shoulder and Elbow Orthopaedic Surgeon
Management of common upper limb fractures in Adults and Children Dr Matthew Sherlock Shoulder and Elbow Orthopaedic Surgeon Outline Immobilisation choices Adults Clavicle Fractures Proximal Humeral Fractures
More informationTHE ARTHROPLASTICAL POSSIBILITIES OF ELBOW JOINT IN RHEUMATOID ARTHRITIS. Miklós Farkasházi M.D.
Abstract of the Ph.D. Thesis THE ARTHROPLASTICAL POSSIBILITIES OF ELBOW JOINT IN RHEUMATOID ARTHRITIS by Miklós Farkasházi M.D. Doctoral School of Semmelweis University Faculty of Physical Education and
More informationICD 10 CM IMPLEMENTATION DATE OCT 1, 2015
Presented by: Teri Romano, RN, MBA, CPC, CMDP ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015 Source: http://journal.ahima.org/2015/02/04/us house committee to hold hearing on icd 10 implementation/ 2 2015 Web_Non
More informationElbow Examination. Haroon Majeed
Elbow Examination Haroon Majeed Key Points Inspection Palpation Movements Neurological Examination Special tests Joints above and below Before Starting Introduce yourself Explain to the patient what the
More informationMEDICAL POLICY No. 91587-R0 KNEE ARTHROSCOPY I. POLICY/CRITERIA
KNEE ARTHROSCOPY MEDICAL POLICY Effective Date: March 24, 2014 Review Dates: 4/11, 4/12, 4/13, 5/14, 5/15, 5/16 Date Of Origin: April 13, 2011 Status: Current I. POLICY/CRITERIA Knee arthroscopy is covered
More informationPain Management Top Diagnosis Codes (Crosswalk)
Pain Management Top s (Crosswalk) 274.00 Gout arthropathy, M1000 Idiopathic gout, unspecified site unspecified M10011 Idiopathic gout, right shoulder M10012 Idiopathic gout, left shoulder M10019 Idiopathic
More information1 Common Hand Surgery Diagnosis Codes ICD-10
Common Hand Surgery Diagnosis Codes ICD-10 This is a list of common codes for diagnoses about the hand and wrist. This is not an exhaustive list of all upper extremity codes. FORMAT of ICD-10: ICD-10 codes
More informationArthroscopy of the Hand and Wrist
Arthroscopy of the Hand and Wrist Arthroscopy is a minimally invasive procedure whereby a small camera is inserted through small incisions of a few millimeters each around a joint to view the joint directly.
More informationElbow Injuries and Disorders
Elbow Injuries and Disorders Introduction Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. There are many injuries and disorders that
More informationInjuries in Orthopedics
Injuries in Orthopedics Jaci Johnson CPC CPCH CPMA CEMC CPCI President Elect AAPC National Advisory Board 2013-2015 No part of this presentation may be reproduced or transmitted in any form or by any means
More informationForearm Fractures 09/18/2013. Mechanism: Usually a fall on an outstretched arm. Incidence. Mechansim
September 20, 2013 Amanda Taylor PA-C Children s Orthopaedics of Louisville Forearm Fractures Incidence 40-50% of all pediatric fractures Mechansim Wide range of mechanism Mechanism: Usually a fall on
More informationHow To Write An Icd10
Crosswalk of Common Spine ICD-9-CM Codes to ICD-10 Codes As of October 1, 2015, all health care entities covered by the Health Insurance Portability and Accountability Act (HIPAA) will be required to use
More informationHow To Perform An Elbow Operation
Coonrad/Morrey Total Elbow Surgical Technique Interchangeability, Anterior Flange, Clinical History Coonrad/Morrey Total Elbow Surgical Technique 1 Coonrad/Morrey Total Elbow Surgical Technique Table
More informationTotal Elbow Arthroplasty and Rehabilitation
Total Elbow Arthroplasty and Rehabilitation Surgical Indications and Considerations Anatomical Considerations: There are three bones and four joint articulations that have a high degree of congruence in
More informationEPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN
MEDICAL POLICY EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN Policy Number: 2015T0004W Effective Date: December 1, 2015 Table of Contents BENEFIT CONSIDERATIONS COVERAGE RATIONALE APPLICABLE CODES..
More informationICD-10 Conversion Reference Sheet
This information is provided by the American Academy of Professional Coders and is available at https://www.aapc.com/icd-10/conversion-mapping.aspx. As a reminder, your office s ability to submit claims
More informationICD-10-CM For Orthopedics. Lynn M. Anderanin, CPC, CPC-I, COSC, AHIMA ICD-10-CM Certified Trainer
ICD-10-CM For Orthopedics Lynn M. Anderanin, CPC, CPC-I, COSC, AHIMA ICD-10-CM Certified Trainer Healthcare Information Services (HIS) HIS is a physician management company based in Chicago, IL specializing
More informationTreatment Guide Understanding Elbow Pain. Using this Guide. Choosing Your Care. Table of Contents:
Treatment Guide Understanding Elbow Pain Elbow pain is extremely common whether due to aging, overuse, trauma or a sports injury. When elbow pain interferes with carrying the groceries, participating in
More informationRadial Head Fracture Repair and Rehabilitation
1 Radial Head Fracture Repair and Rehabilitation Surgical Indications and Considerations Anatomical Considerations: The elbow is a complex joint due to its intricate functional anatomy. The ulna, radius
More informationTotal elbow joint replacement for rheumatoid arthritis: A Patient s Guide
www.orthop.washington.edu TABLE OF CONTENTS 1 Overview 2 Review of the condition 3 Considering surgery 5 Preparing for surgery 6 About the procedure 8 Recovering from surgery 9 Convalescence and Rehabilitation
More informationReferral Form & Instructions Questions? Call 1 888 284 5433 and press 7
Therapist Name: Phone: Referral Form & Instructions Questions? Call 1 888 284 5433 and press 7 1 2 Indicate all products that might be appropriate for your patient. Please check all products that might
More informationSpinal Surgery Functional Status and Quality of Life Outcome Specifications 2015 (01/01/2013 to 12/31/2013 Dates of Procedure) September 2014
Description Methodology For patients ages 18 years and older who undergo a lumbar discectomy/laminotomy or lumbar spinal fusion procedure during the measurement year, the following measures will be calculated:
More informationFracture Care Coding September 28, 2011
Fracture Care Coding September 28, 2011 Julie Edens Leu, CPC, CPCO, CPMA, CPC-I 1 Disclaimer Every reasonable effort has been made to ensure that the educational material provided today is accurate and
More informationNational Medical Policy
National Medical Policy Subject: Shoulder Arthroplasty Policy Number: NMP222 Effective Date*: July 2005 Updated: September 2015 This National Medical Policy is subject to the terms in the IMPORTANT NOTICE
More informationY O U R S U R G E O N S. choice of. implants F O R Y O U R S U R G E R Y
Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Your Surgeon Has Chosen the C 2 a-taper Acetabular System The
More informationHome Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes
Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E99) ICD-10-CM diabetes mellitus
More informationCPT Codes for the ABOS Hand Subspecialty Case List
10060 Incision and drainage of abscess eg, carbuncle, suppurative hidradenitis, and other cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia; simple or single 10061 Incision and drainage
More informationICD-10 FAQ. How Long Has ICD-9-CM Been In Use?
ICD-10 FAQ How Long Has ICD-9-CM Been In Use? What Code Set Does ICD-9-CM Define? What Code Set Does ICD-10 Define? When was ICD-10-CM Created? What agency maintains ICD-10? Why is ICD-10 better than ICD-9?
More informationAnkle Arthritis Treatment in Worker Compensation The New Gold Standard ~ Total Ankle Replacement
Ankle Arthritis Treatment in Worker Compensation The New Gold Standard ~ Total Ankle Replacement Aprajita Nakra, DPM, FACFAS Board Certified, Reconstructive Foot & Ankle Surgery Past President, Arizona
More informationICD-10-CM AND THE EMERGENCY PHYSICIAN
ICD-10-CM AND THE EMERGENCY PHYSICIAN BACKGROUND Technically known as the International Statistical Classification of Diseases and Related Health Problems, the International Classification of Diseases
More informationRuby O Brochta-Woodward BSN, CPC, CCS-P, COSC, ACS-OR April 17, 2013 AAPC National Conference Orlando, FL
Ruby O Brochta-Woodward BSN, CPC, CCS-P, COSC, ACS-OR April 17, 2013 AAPC National Conference Orlando, FL Fracture coding, what do you need to know? Types of fractures Types of treatment Fracture care
More informationIntegra. MCP Joint Replacement PATIENT INFORMATION
Integra MCP Joint Replacement PATIENT INFORMATION Integra MCP Patient Information This brochure summarizes information about the use, risks, and benefits of the Integra MCP finger implant. Be sure to discuss
More informationRADIOGRAPHIC EVALUATION
Jeff Husband MD Objectives Evaluate, diagnose and manage common wrist injuries due to high energy trauma in athletes Appropriately use radiographs, CT scans and MRI Know when to refer patients for additional
More informationCAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Elbow Arthroplasty
1.0 Policy Statement... 2 2.0 Purpose... 2 3.0 Scope... 2 4.0 Health & Safety... 2 5.0 Responsibilities... 2 6.0 Definitions and Abbreviations... 2 7.0 Guideline... 3 7.1 Indications... 3 7.2 Types of
More informationTotal Elbow Arthroplasty as Primary Treatment for Distal Humeral Fractures in Elderly Patients*
Copyright 199 by The Journal of Bone and Joint Surgery, Incorporated Total Elbow Arthroplasty as Primary Treatment for Distal Humeral Fractures in Elderly Patients* BY TYSON K. COBB, M.D.f, AND BERNARD
More informationSystemic condition affecting synovial tissue Hypertrohied synovium destroys. Synovectomy. Tenosynovectomy Tendon Surgery Arthroplasty Arthrodesis
Surgical Options for Rheumatoid Arthritis of the Wrist Raj Bhatia Consultant Hand & Orthopaedic Surgeon Bristol Royal Infirmary & Avon Orthopaedic Centre Rheumatoid Arthritis Systemic condition affecting
More informationHand and Upper Extremity Injuries in Outdoor Activities. John A. Schneider, M.D.
Hand and Upper Extremity Injuries in Outdoor Activities John A. Schneider, M.D. Biographical Sketch Dr. Schneider is an orthopedic surgeon that specializes in the treatment of hand and upper extremity
More informationCoding for ICD-10-CM: More of the Basics. December, 2014
Coding for ICD-10-CM: More of the Basics December, 2014 How to Obtain a Code Book Free ICD-10-CM pdf ftp://ftp.cdc.gov/pub/health_statistics/nchs/publications/icd10cm/2015 Code books and associated tools
More informationShoulder Joint Replacement
Shoulder Joint Replacement Many people know someone with an artificial knee or hip joint. Shoulder replacement is less common, but it is just as successful in relieving joint pain. Shoulder replacement
More informationArthritis of the Shoulder
Arthritis of the Shoulder In 2011, more than 50 million people in the United States reported that they had been diagnosed with some form of arthritis, according to the National Health Interview Survey.
More informationIntroduction to ICD 10 CM Documentation for Physicians
Introduction to ICD 10 CM Documentation for Physicians 1 ICD 10 CM Coding & Documentation for Physicians Objectives Understand the differences and similarities in the code books and code structures of
More informationCMS Limitations Guide Mammograms and Bone Density Radiology Services
CMS Limitations Guide Mammograms and Bone Density Radiology Services Starting July 1, 2008, CMS has placed numerous medical necessity limits on tests and procedures. This reference guide provides you with
More informationPANNICULECTOMY & BODY CONTOURING PROCEDURES
COVERAGE DETERMINATION GUIDELINE PANNICULECTOMY & BODY CONTOURING PROCEDURES Guideline Number: CDG.014.05 Effective Date: December 1, 2015 Table of Contents COVERAGE RATIONALE... DEFINITIONS. APPLICABLE
More informationValgus deformity and proximal subluxation of the rheumatoid elbow: a radiographic 15 year follow up study of 148 elbows
Ann Rheum Dis 2001;60:765 769 765 Valgus deformity and proximal subluxation of the rheumatoid elbow: a radiographic 15 year follow up study of 148 elbows J T Lehtinen, K Kaarela, M J Kauppi, E A Belt,
More informationPage 1 of 1 Origination Date: 4/08 Revision Date(s): 4/09, 2/11, 2/12, 12/12, 11/13, 11/14 Developed By: Medical Criteria Committee
Page 1 of 1 Approved: Mary Engrav, MD Date: 12/03/2014 Description: Aphakia is an absence of the lens in the eye. It may occur congenitally or from trauma, but is most commonly caused by extraction of
More information.org. Shoulder Joint Replacement. Anatomy
Shoulder Joint Replacement Page ( 1 ) Although shoulder joint replacement is less common than knee or hip replacement, it is just as successful in relieving joint pain. Shoulder replacement surgery was
More informationSUBJECT: MANAGEMENT OF BREAST EFFECTIVE DATE: 12/16/99 IMPLANTS REVISED DATE:
MEDICAL POLICY SUBJECT: MANAGEMENT OF BREAST PAGE: 1 OF: 5 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical policy
More informationThe most common complaint associated with elbow. Elbow Arthritis. Michael G. Soojian, M.D., and Young W. Kwon, M.D., Ph.D. Anatomy
61 Elbow Arthritis Michael G. Soojian, M.D., and Young W. Kwon, M.D., Ph.D. Abstract Patients with elbow arthritis typically present with complaints of pain and stiffness. Rheumatoid arthritis is the most
More informationWrist and Hand. Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Fractures of the Wrist and Hand: Carpal bones
Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Wrist and Hand Fractures of the Wrist and Hand: Fractures of the wrist The wrist joint is made up of the two bones in your
More informationClarification of Medicare Benefits Schedule rules for the Transport Accident Commission and WorkSafe Victoria
Clarification of Medicare Benefits Schedule rules for the Transport Accident Commission and WorkSafe Victoria MAY 2013 When paying the reasonable costs of medical services, the TAC and WorkSafe pay in
More informationLOW BACK PAIN; MECHANICAL
1 ORTHO 16 LOW BACK PAIN; MECHANICAL Background This case definition was developed by the Armed Forces Health Surveillance Center (AFHSC) for the purpose of epidemiological surveillance of a condition
More informationICD-10. Clinical Concepts for Orthopedics
ICD-10 Clinical Concepts for Orthopedics ICD-10 Clinical Concepts Series Common Codes Clinical Documentation Tips Clinical Scenarios ICD-10 Common Codes for Orthopedics is a feature of Road to 10, a CMS
More informationMusculoskeletal Trauma of the Wrist
September 2000 Musculoskeletal Trauma of the Wrist Murat Akalin, Harvard Medical School, Year- IV Gillian Lieberman, MD The Wrist Most common site of injury in entire skeleton Distal radius and ulna fractures
More informationChiropractic ICD 9 Code List
Use of valid ICD 9 codes, billed with appropriate and corresponding CPT codes, benefits providers by facilitating treatment authorization and claims payment. The use of valid and appropriate codes also
More informationAt the completion of the rotation, the resident will have acquired the following competencies and will function effectively as:
Goals and Objectives Orthopedic Surgery Residency Program - Memorial University Plastic Surgery DEFINITION Traumatic or acquired problems of the musculoskeletal system frequently have a soft tissue component
More informationICD-10 for Orthopedics
May 2015 ICD-10 for Orthopedics UConn Health Introductions Dr. Frank Turner ICD-10 Implementation Physician Advisor 2 Agenda Describe the challenges associated with ICD-10 implementation Identify the importance
More information.org. Shoulder Pain and Common Shoulder Problems. Anatomy. Cause
Shoulder Pain and Common Shoulder Problems Page ( 1 ) What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion in the arm from scratching
More informationPain Quick Reference for ICD 10 CM
Pain Quick Reference for ICD 10 CM Coding of acute or chronic pain in ICD 10 CM are located under category G89, Pain, not elsewhere classified. The subcategories are broken down by type, temporal parameter,
More informationCommon Injuries of the Hand, Wrist, & Elbow. Terry M. Messer, MD October 25, 2007
Common Injuries of the Hand, Wrist, & Elbow Terry M. Messer, MD October 25, 2007 Introduction! Hand, Wrist, & Elbow Injuries are common! Increase in intensity/frequency of sports training! Sedentary lifestyle
More informationNon Operative Management of Common Fractures
Non Operative Management of Common Fractures Mr Duy Thai Orthopaedic Surgeon MBBS, FRACS (Ortho), Dip Surg Anat NOT ALL FRACTURES NEED TO BE FIXED FRACTURE CLINIC EMERGENCY DEPARTMENTS GENERAL PRACTITIONERS
More informationTransitioning from ICD-9-CM to ICD-10-CM. Tidewater Physicians Multispecialty Group Williamsburg, VA
Transitioning from ICD-9-CM to ICD-10-CM Tidewater Physicians Multispecialty Group Williamsburg, VA February 22, 2014 Our Agenda Some guidelines for this morning s presentation Our Transformational Point
More informationUS Reimbursement Guide
US Reimbursement Guide The information with this notice is general reimbursement information only. It is not legal advice, nor is it about how to code, complete or submit any particular claim for payment.
More informationCHAPTER 2. Neoplasms (C00-D49) March 2014. 2014 MVP Health Care, Inc.
Neoplasms (C00-D49) March 2014 2014 MVP Health Care, Inc. CHAPTER SPECIFIC CATEGORY CODE BLOCKS C00-C14 Malignant neoplasms of lip, oral cavity and pharynx C15-C26 Malignant neoplasms of digestive organs
More informationGet Rid of Elbow Pain
Get Rid of Elbow Pain Self Regional Healthcare Optimum Life Center 115 Academy Avenue Greenwood, SC 29646 Office: (864) 725-7088 Self Regional Healthcare Physical Therapy Savannah Lakes 207 Holiday Road
More information3.1. Presenting signs and symptoms; may include some of the following;
Title: Clinical Protocol for the management of Forearm and Wrist injuries. Document Owner: Deirdre Molloy Document Author: Deirdre Molloy Presented to: Care & Clinical Policies Date: August 2015 Ratified
More informationEPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN
CLINICAL POLICY EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN Policy Number: PAIN 019.16 T2 Effective Date: December 1, 2015 Table of Contents CONDITIONS OF COVERAGE... BENEFIT CONSIDERATIONS..
More informationASSOCIATE PROFESSOR BO POVLSEN Emeritus Consultant Orthopaedic Surgeon Guy s & St Thomas Hospitals NHS Trust GMC no. 3579329
ASSOCIATE PROFESSOR BO POVLSEN Emeritus Consultant Orthopaedic Surgeon Guy s & St Thomas Hospitals NHS Trust GMC no. 3579329 Consultant Orthopaedic Surgeon London Bridge Hospital Medico-Legal Secretary:
More informationChapter. CPT only copyright 2010 American Medical Association. All rights reserved. 29Physical Medicine and Rehabilitation
29Physical Medicine and Rehabilitation Chapter 29 29.1 Enrollment..................................................................... 29-2 29.2 Benefits, Limitations, and Authorization Requirements...........................
More informationRheumatology ICD-10 documentation
Rheumatology documentation Seven key impacts to documentation 1. Disease or disorder site 2. Acuity and/or encounter status of treatment 3. Etiology, causative agent, or disease type and injury/ poisoning
More informationIQ ICD-10 EMR Based Predictive Modeling and Dual Coded Solutions
IQ ICD-10 EMR Based Predictive Modeling and Dual Coded Solutions Discussion with AHIP ICD-10 Task Force August 18, 2011 AGENDA Corporate Introductions Understanding the Industry Needs for Test Data, Testing
More informationMedical Policy Original Effective Date: 11-19-08 Revised Date: 1-27-16 Page 1 of 8
Page 1 of 8 Disclaimer Description Coverage Determination Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on all plans, or the plan
More informationMEDICAL POLICY POLICY TITLE DENTAL AND ORAL SURGERY SERVICES AFTER AN ACCIDENT POLICY NUMBER MP- 1.108
Original Issue Date (Created): July 1, 2005 Most Recent Review Date (Revised): Effective Date: June 29, 2010 May 25, 2011- RETIRED I. POLICY II. Dental and/or oral surgery services (on a limited basis)
More informationCHAPTER 19 INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-T88)
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-T88) March 2014 2014 MVP Health Care, Inc. CHAPTER SPECIFIC CATEGORY CODE BLOCKS S00-S09 Injuries to the head S10-S19 Injuries to
More informationCERVICAL PROCEDURES PHYSICIAN CODING
CERVICAL PROCEDURES PHYSICIAN CODING Anterior Cervical Discectomy with Interbody Fusion (ACDF) Anterior interbody fusion, with discectomy and decompression; cervical below C2 22551 first interspace 22552
More informationICD-10 Spotlight: Know the codes
Revised December 1, 2012 Independence Blue Cross offers products directly, through its subsidiaries Keystone Health Plan East and QCC Insurance Company, and with Highmark Blue Shield independent licensees
More informationCommonly Missed Fractures in the Emergency Department
Commonly Missed Fractures in the Emergency Department Taylor Sittler MS IV - UMASS Images courtesy of Jim Wu, MD, Sanjay Shetty, MD and Mary Hochman, MD Diagnostic Errors in the ED Taylor Sittler, MS IV
More informationJOINT INJURIES Prof. MVDr. Alois Nečas, PhD, MBA University of Veterinary and Pharmaceutical Sciences Brno Joint trauma Bone structures
JOINT INJURIES Prof. MVDr. Alois Nečas, PhD, MBA University of Veterinary and Pharmaceutical Sciences Brno Joint trauma Bone structures Intraarticular fxs Supportive structures intraarticular a periarticular
More informationAggressive vs. nonaggressive bone lesions. Anthony Pease, DVM, MS, DACVR
Aggressive vs. nonaggressive bone lesions Anthony Pease, DVM, MS, DACVR The evaluation of the musculoskeletal system is difficult due to the numerous soft tissues as well as the bone structures involved.
More informationEXHIBIT COORDINATING PROVISIONS-STATE/FEDERAL LAW, ACCREDITATION STANDARDS AND GEOGRAPHIC EXCEPTIONS MARYLAND
EXHIBIT COORDINATING PROVISIONS-STATE/FEDERAL LAW, ACCREDITATION STANDARDS AND GEOGRAPHIC EXCEPTIONS MARYLAND I. INTRODUCTION: Scope. To the extent of any conflict between the Agreement and this State
More informationRheumatoid Arthritis. Nicole Klett,, M.D.
Rheumatoid Arthritis Nicole Klett,, M.D. Rheumatoid Arthritis Systemic Chronic Inflammatory Primarily targets the synovium of diarthrodial joints Etiology likely combination genetic and environmental Diarthrodial
More informationAMBULANCE SERVICES. Page
AMBULANCE SERVICES COVERAGE DETERMINATION GUIDELINE Guideline Number: CDG.001.03 Effective Date: June 1, 2015 Table of Contents COVERAGE RATIONALE... DEFINITIONS. APPLICABLE CODES... REFERENCES... HISTORY/REVISION
More informationChapter. CPT only copyright 2009 American Medical Association. All rights reserved. 29Physical Medicine and Rehabilitation
Chapter 29Physical Medicine and Rehabilitation 29 29.1 Enrollment...................................................... 29-2 29.2 Benefits, Limitations, and Authorization Requirements......................
More informationInpatient Rehabilitation Facilities (IRFs) [Preauthorization Required]
Inpatient Rehabilitation Facilities (IRFs) [Preauthorization Required] Medical Policy: MP-ME-05-09 Original Effective Date: February 18, 2009 Reviewed: April 22, 2011 Revised: This policy applies to products
More informationAcceptable CPT Codes for the ABOS Sports Subspecialty Case List
20520 Removal of foreign body in muscle or tendon sheath; simple 20525 Removal of foreign body in muscle or tendon sheath; deep or complicated 20670 Removal of implant; superficial, (eg, buried wire, pin
More informationICD 10: Implications For Content Conversion in Vendor Products
ICD 10: Implications for Content Conversion in Vendor Products Ardith Campbell, CPC, CPC H, CCP Manager, Charge and Revenue Integrity Services MedAssets ICD 10: Implications for Content Conversion in Vendor
More informationRheumatoid arthritis of the elbow
Ann. rheum. Dis. (1975), 34, 403 Rheumatoid arthritis of the elbow Pattern of joint involvement, and results of synovectomy with excision of the radial head H. STEIN, R. A. DICKSON, AND G. BENTLEY From
More information