Healthy Indiana Plan Chiropractic Code Set
|
|
- Leon Golden
- 7 years ago
- Views:
Transcription
1 Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Published in the August Network Update Healthy Indiana Plan Chiropractic Code Set Anthem Blue Cross and Blue Shield (Anthem) chiropractic code set covered within each of the four new Healthy Indiana Plan (HIP) programs HIP Plus, HIP Basic, HIP State Plan Plus and HIP State Plan Basic has been updated and became effective February 1, HIP Plus and HIP Basic In accordance with the revision to LSA Document # (F) of the Indiana Check-Up Plan, HEA 1678 (2007) clarifies that chiropractors may provide services that are covered by the plan and within their scope of practice. Chiropractic benefits for spinal manipulations are NOT included in the HIP Plus or HIP Basic plan benefits; however, CPT codes in Tables 3, 4 and 5 and ICD codes in Table 6 are covered services in the HIP Plus and HIP Basic plans. All chiropractic services are covered for pregnant members in HIP Plus or HIP Basic during their pregnancy period. As a reminder, the HIP Basic plan has a $4 outpatient/office visit copayment due at the time of service. Member copayments may be found using Anthem s Availity. HIP State Plan Plus and HIP State Plan Basic Chiropractic benefits are included in HIP State Plan Plus and HIP State Plan Basic and mirror the Indiana Medicaid coverage. Chiropractic services are covered for members who are pregnant or medically frail as part of their HIP State Plan benefits. Anthem limits reimbursement to a total of 50 treatments per member per calendar year. The 50 treatments can be a combination of office visits, spinal manipulation, or physical medicine treatments. However, Anthem limits office visits to five per year; up to five of the 50 units can be office visits. CPT codes in Tables 1 through 5 and ICD codes in Table 6 are covered in the HIP State Plans. Members do not need prior authorization and may self-refer for services provided by Anthem-contracted chiropractors. The HIP State Plan Basic has a $4 outpatient/office visit copayment due at the time of service. All HIP Plans Chiropractic services are a self-referred service in HIP, which means members may self-refer to any Indiana Health Coverage Programs (IHCP) enrolled chiropractor. Some covered services may require a Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. AINPEC
2 Page 2 of 10 medical necessity determination through prior authorization. Contact the Anthem Utilization Management Department at < > for prior authorization requests. Providers must verify eligibility at the time of service using Web interchange or Anthem s Availity before rendering services. Failure to verify eligibility could result in claim denials. Anthem encourages chiropractors to contract with Anthem for HIP. Providers interested in contracting can complete the provider maintenance form at to request becoming part of the Anthem Medicaid and HIP provider networks. TABLE 1: Non-Covered Chiropractic Office Manipulative Treatment (OMT) Codes CPT Code Description OMT, one to two body regions Three to four body regions Five to six body regions Seven to eight body regions Nine to ten body regions TABLE 2: Non-Covered Chiropractic Codes for Spinal Manipulations CPT Code Description Chiropractic manipulative treatment (CMT); spinal, one to two regions Chiropractic manipulative treatment (CMT); spinal, three to four regions Chiropractic manipulative treatment (CMT); spinal, five regions Chiropractic manipulative treatment (CMT); extraspinal, one or more regions TABLE 3: Covered Chiropractic Codes for Office Visits CPT Code Description Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a problem focused history; a problem focused examination; straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family s needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient s and/or family s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
3 TABLE 4: Covered Chiropractic Codes for Physical Medicine Anthem Blue Cross and Blue Shield Page 3 of Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a detailed history; a detailed examination; medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient s and/or family s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, five minutes are spent performing or supervising these services Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a problem focused history; a problem focused examination; straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient s and/or family s needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. CPT Code Description Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient s and/or family s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family Application of a modality to one or more areas; traction, mechanical Application of a modality to one or more areas; electrical stimulation (unattended) Application of a modality to one or more areas; vasopneumatic devices Application of a modality to one or more areas; paraffin bath Application of a modality to one or more areas; whirlpool Application of a modality to one or more areas; diathermy (e.g., microwave) Application of a modality to one or more areas; infrared Application of a modality to one or more areas; ultraviolet Application of a modality to one or more areas; electrical stimulation (manual), each 15 minutes Application of a modality to one or more areas; iontophoresis, each 15 minutes Application of a modality to one or more areas; contrast baths, each 15 minutes Application of a modality to one or more areas; ultrasound, each 15 minutes Application of a modality to one or more areas; Hubbard tank, each 15 minutes Unlisted modality (specify type and time if constant attendance) Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
4 Page 4 of Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility; aquatic therapy with therapeutic exercises Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility; gait training (includes stair climbing) Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility; massage, including effleurage, petrissage, and/or tapotement (stroking, compression, percussion) Unlisted therapeutic procedure (specify) therapeutic procedure, one or more areas, each 15 minutes; Manual therapy techniques (mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes TABLE 5: Covered Chiropractic Codes for Radiology CPT Code Description Radiologic examination, spine, entire, survey study, anteroposterior and lateral Radiologic examination, spine, single view, specify level Radiologic examination, spine, cervical; three views or less Radiologic examination, spine, cervical; four or five views Radiologic examination, spine, cervical; six or more views Radiologic examination, spine, thoracolumbar, standing (scoliosis) Radiologic examination, spine; thoracic, two views Radiologic examination, spine; thoracic, three views Radiologic examination, spine; thoracic, minimum of 4 four views Radiologic examination, spine; thoracolumbar, two views Radiologic examination, spine; scoliosis study, including supine and erect studies Radiologic examination, spine, lumbosacral; two or three views Radiologic examination, spine, lumbosacral; minimum of four views Radiologic examination, spine, lumbosacral; complete, including bending view, minimum of six views Radiologic examination, spine, lumbosacral; bending views only, two or three views Radiologic examination, pelvis; one or two views Radiologic examination, pelvis; complete, minimum of three views Radiologic examination, sacroiliac joints; less than three views Radiologic examination, sacroiliac joints; three or more views Radiologic examination, sacrum and coccyx, minimum of two views Radiologic examination; clavicle, complete Radiologic examination; scapula, complete Radiologic examination, shoulder; one view Radiologic examination, shoulder; complete, minimum of two views Radiologic examination; acromioclavicular joints, bilateral, with or without weighted
5 Page 5 of 10 distraction Radiologic examination; humerus, minimum of two views Radiologic examination, elbow, two views Radiologic examination, elbow, complete, minimum of three views Radiologic examination; forearm, two views Radiologic examination, wrist; two views Radiologic examination, wrist; complete, minimum of three views Radiologic examination, hand; two views Radiologic examination, hand; minimum of three views Radiologic examination, finger(s), minimum of two views Radiologic examination, hip, unilateral; one view Radiologic examination, hip, complete, minimum of two views Radiologic examination, hips, bilateral, minimum of two views of each hip, including anteroposterior view of pelvis Radiologic examination, femur, two views Radiologic examination, knee; one or two views Radiologic examination, knee; three views Radiologic examination, knee; complete, four or more views Radiologic examination, knee; both knees, standing, anteroposterior Radiologic examination; tibia and fibula, two views Radiologic examination, ankle; two views Radiologic examination, ankle; complete, minimum of three views Radiologic examination, foot; two views Radiologic examination, foot; complete, minimum of three views Radiologic examination; calcaneus, minimum of two views Radiologic examination, toe(s), minimum of two views TABLE 6: ICD Covered Codes for Chiropractic Services Diagnosis Description Code Tension headache Spasmodic torticollis Cluster headache syndrome, unspecified Episodic cluster headache Chronic cluster headache Episodic paroxysmal hemicrania Chronic paroxysmal hemicrania Short lasting unilateral neuralgiform headache with conjunctival injection and tearing Other trigeminal autonomic cephalgias Tension type headache, unspecified Episodic tension type headache Chronic tension type headache Post-traumatic headache, unspecified Acute post-traumatic headache Chronic post-traumatic headache
6 Page 6 of Other specified headache syndromes Migraine with aura without mention of intractable migraine without mention of status Migraine with aura with intractable migraine, so stated, without mention of status Migraine with aura, without mention of intractable migraine, with status Migraine with aura, with intractable migraine, so stated, with status Migraine without aura without mention of intractable migraine without mention of status Migraine without aura with intractable migraine, so stated, without mention of status Migraine without aura, without mention of intractable migraine with status Migraine without aura, with intractable migraine, so stated, with status Variants of migraine, not elsewhere classified without mention of intractable migraine without mention of status Variants of migraine, not elsewhere classified with intractable migraine, so stated, without mention of status Variants of migraine, not elsewhere classified, without mention of intractable migraine with status Variants of migraine, not elsewhere classified, with intractable migraine, so stated, with status Hemiplegic migraine, without mention of intractable migraine without mention of status Hemiplegic migraine, with intractable migraine, so stated, without mention of status Hemiplegic migraine, without mention of intractable migraine with status Hemiplegic migraine, with intractable migraine, so stated, with status Menstrual migraine, without mention of intractable migraine without mention of status Menstrual migraine, with intractable migraine, so stated, without mention of status Menstrual migraine, without mention of intractable migraine with status Menstrual migraine, with intractable migraine, so stated, with status Persistent migraine aura without cerebral infarction, without mention of intractable migraine without mention of status Persistent migraine aura without cerebral infarction, with intractable migraine, so stated, without mention of status Persistent migraine aura without cerebral infarction, without mention of intractable migraine with status Persistent migraine aura without cerebral infarction, with intractable migraine, so stated, with status Chronic migraine without aura, without mention of intractable migraine without mention of status Chronic migraine without aura, with intractable migraine, so stated, without mention of status Chronic migraine without aura, without mention of intractable migraine with status Chronic migraine without aura, with intractable migraine, so stated, with status
7 Page 7 of Other forms of migraine without mention of intractable migraine without mention of status Other forms of migraine with intractable migraine, so stated, without mention of status Other forms of migraine, without mention of intractable migraine with status Other forms of migraine, with intractable migraine, so stated, with status Migraine, unspecified without mention of intractable migraine without mention of status Migraine, unspecified, with intractable migraine, so stated, without mention of status Migraine, unspecified, without mention of intractable migraine with status Migraine, unspecified, with intractable migraine, so stated, with status Brachial plexus lesions Lumbosacral plexus lesions Cervical root lesions, not elsewhere classified Thoracic root lesions, not elsewhere classified Lumbosacral root lesions, not elsewhere classified Phantom limb (syndrome) Other nerve root and plexus disorders Unspecified nerve root and plexus disorder Causalgia of upper limb Other mononeuritis of upper limb Mononeuritis of upper limb, unspecified Causalgia of lower limb Other mononeuritis of lower limb Mononeuritis of lower limb, unspecified Unspecified complication of pregnancy, antepartum Bone and joint disorders of maternal back, pelvis, and lower limbs, antepartum Other current maternal conditions classifiable elsewhere, antepartum Pain in joint, site unspecified Pain in joint, shoulder region Pain in joint, upper arm Pain in joint, forearm Pain in joint, hand Pain in joint, pelvic region and thigh Pain in joint, lower leg Pain in joint, ankle and foot Pain in joint, other specified site Pain in joint, multiple site Ankylosing spondylitis Spinal enthesopathy Cervical spondylosis without myelopathy Cervical spondylosis with myelopathy Thoracic spondylosis without myelopathy Lumbosacral spondylosis without myelopathy Thoracic or lumbar spondylosis with myelopathy; thoracic region
8 Thoracic or lumbar spondylosis with myelopathy; lumbar region Kissing spine Ankylosing vertebral hyperostosis Traumatic spondylopathy Spondylosis of unspecified site; without mention of myelopathy Spondylosis of unspecified site; with myelopathy Displacement of cervical intervertebral disc without myelopathy Displacement of lumbar intervertebral disc without myelopathy Displacement of thoracic intervertebral disc without myelopathy Displacement of intervertebral disc, site unspecified, without myelopathy Schmorl s nodes; unspecified region Schmorl s nodes; thoracic region Schmorl s nodes; lumbar region Degeneration of cervical intervertebral disc Degeneration of thoracic or thoracolumbar intervertebral disc Degeneration of lumbar or lumbosacral intervertebral disc Degeneration if intervertebral disc, site unspecified Postlaminectomy syndrome; unspecified region Postlaminectomy syndrome; cervical region Postlaminectomy syndrome; thoracic region Postlaminectomy syndrome; lumbar region Other and unspecified disc disorder; unspecified region Other and unspecified disc disorder; cervical region Other and unspecified disc disorder; thoracic region Other and unspecified disc disorder; lumbar region Spinal stenosis in cervical region Cervicalgia Cervicocranial syndrome Cervicobrachial syndrome (diffuse) Brachia neuritis or radiculitis, NOS Torticollis, unspecified Other syndromes affecting cervical region Unspecified musculoskeletal disorders and symptoms referable to neck Spinal stenosis, unspecified region Spinal stenosis, thoracic region Spinal stenosis, lumbar region, without neurogenic claudication Spinal stenosis, other Pain in thoracic spine Lumbago Sciatica Thoracic or lumbosacral neuritis or radiculitis, unspecified Backache, unspecified Disorders of sacrum Unspecified disorder of coccyx Disorders of coccyx, other Other symptoms referable to back, facet syndrome Anthem Blue Cross and Blue Shield Page 8 of 10
9 Page 9 of Other unspecified back disorders Plantar fascial fibromatosis Spasm of muscle Myalgia and myositis Fascilitis, unspecified Pain in limb Juvenile osteochondrosis of spine Adolescent postural kyphosis Kyphosis (acquired) (postural) Kyphosis, postlaminectomy Kyphosis, other Lordosis, (acquired) (postural) Lordosis, postlaminectomy Other postsurgical lordosis Lordosis (acquired) Other Scoliosis (and kyphoscoliosis), idiopathic Resolving infantile idiopathic scoliosis Progressive infantile idiopathic scoliosis Thoracongenic scoliosis Kyphoscoliosis and scoliosis, other Curvature of spine associated with other conditions Curvature of spine, unspecified Curvature of spine associated with other conditions Kyphosis Curvature of spine associated with other conditions Lordosis Curvature of spine associated with other conditions Scoliosis Other curvatures of spine Unspecified curvature of spine Acquired spondylolisthesis Nonallopath lesion Head Nonallopath lesion Cervical Nonallopath lesion Thoracic Nonallopath lesion Lumbar Nonallopath lesion Saral Nonallopath lesion Pelvic Nonallopath lesion Lower extremity Nonallopath lesion Upper extremity Nonallopath lesion Rib cage Certain congenital musculoskeletal deformities of sternocleidomastoid muscle Certain congenital musculoskeletal deformities of spine Spondylolysis, lumbrosacral region Spondylolisthesis Headache Cervical vertebra dislocation, closed Cervical vertebra, unspecified Cervical vertebra dislocation, closed First cervical vertebra Cervical vertebra dislocation, closed Second cervical vertebra Cervical vertebra dislocation, closed Third cervical vertebra Cervical vertebra dislocation, closed Fourth cervical vertebra
10 Page 10 of Cervical vertebra dislocation, closed Fifth cervical vertebra Cervical vertebra dislocation, closed Sixth cervical vertebra Cervical vertebra dislocation, closed Seventh cervical vertebra Cervical vertebra dislocation, closed Multiple cervical vertebra Lumbar vertebra dislocation, closed Thoracic vertebra dislocation, closed Sprains and strains of sacroiliac region, lumbosacral (joint) (ligament) Sprains and strains of sacroiliac region, sacroiliac ligament Sprains and strains of sacroiliac region, sacrospinatus (ligament) Sprains and strains of sacroiliac region, sacrotuberous (ligament) Sprains and strains of sacroiliac region, other specified sites of sacroiliac region Sprains and strains of sacroiliac region, unspecified site of sacroiliac region Sprains and strains of other and unspecified parts of back Neck Sprains and strains of other and unspecified parts of back Thoracic Sprains and strains of other and unspecified parts of back Lumbar Sprains and strains of other and unspecified parts of back Sacrum Sprains and strains of other and unspecified parts of back Coccyx Sprains and strains of other and unspecified parts of back Unspecified site of back Late effect of injury to nerve root(s), spinal plexus(es), and other nerves of trunk Injury to nerve roots and spinal plexus, cervical root Injury to nerve roots and spinal plexus, dorsal root Injury to nerve roots and spinal plexus, lumbar root Injury to nerve roots and spinal plexus, sacral root Injury to nerve roots and spinal plexus, brachial plexus Injury to nerve roots and spinal plexus, lumbrosacral plexus Injury to peripheral nerve(s) of pelvic girdle and lower limb, sciatic nerve Injury to peripheral nerve(s) of pelvic girdle and lower limb, femoral nerve Injury to peripheral nerve(s) of pelvic girdle and lower limb, posterior tibial nerve Injury to peripheral nerve(s) of pelvic girdle and lower limb, peroneal nerve Injury to peripheral nerve(s) of pelvic girdle and lower limb, cutaneous sensory nerve, lower limb Injury to peripheral nerve(s) of pelvic girdle and lower limb, other specified nerve(s) of pelvic girdle and lower limb Injury to peripheral nerve(s) of pelvic girdle and lower limb, multiple nerves of pelvic girdle and lower limb Injury to peripheral nerve(s) of pelvic girdle and lower limb, unspecified nerve of pelvic girdle and lower limb
Chiropractic 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 informationICD10 Chiropractic Diagnosis Codes
ICD10 Chiropractic Diagnosis Codes Disclaimer: When the ICD-10 code requires a 7th character, the code shown assumes "initial." Disclaimer: This information is based on the General Equivalency Mapping
More informationChiropractic ICD-10 Common Codes List
Chiropractic ICD-10 Common Codes List This is a preliminary list of common ICD-10 codes for chiropractic diagnoses. This is a common code list to be used as a guide for coding and is not intended to represent
More informationCMS Imaging Efficiency Measures Included in Hospital Outpatient Quality Data Reporting Program (HOP QDRP) 2009
CMS Imaging Efficiency Measures Included in Hospital Outpatient Quality Data Reporting Program (HOP QDRP) 2009 OP 8: MRI LUMBAR SPINE FOR LOW BACK PAIN Measure Description: This measure estimates the percentage
More informationNeck and Back Pain in VA Incidence and Prevalence in VA Users
Neck and Back Pain in VA Incidence and Prevalence in VA Users Spotlight on Pain Management: Patsi Sinnott, PT, PhD, MPH Sharon Dally, MS, Tigran Avoundjian, MPH, Jody Trafton, PhD, Todd Wagner, PhD Dec.
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 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 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 informationChiropractic Billing Guide
Chiropractic Billing Guide Independence Blue Cross (IBC) has created this 2006 Chiropractic Billing Guide Supplement in order to provide clear and helpful information about billing requirements for chiropractic
More informationChiropractic Billing Guide
Chiropractic Billing Guide AmeriHealth HMO Inc., and its affiliates (AmeriHealth) have created this 2006 Chiropractic Billing Guide Supplement in order to provide clear and helpful information about billing
More informationICD-10 Cheat Sheet Frequently Used ICD-10 Codes for Musculoskeletal Conditions *
ICD-10 Cheat Sheet Frequently Used ICD-10 Codes for Musculoskeletal Conditions * Finding the ICD-10 equivalent for an ICD-9 code can be a challenge. This resource of frequently used codes can help when
More informationCAUTION: FOR TRAINING PURPOSES ONLY. ABSOLUTELY NO WARRANTY IMPLIED.
CAUTION: FOR TRAINING PURPOSES ONLY. ABSOLUTELY NO WARRANTY IMPLIED. DIAGNOSIS CODE LIST: ICD-10's only, Report page# 1 CODE DESCRIPTION -------------------------------------------------------------------
More informationLCD for Chiropractic Services (L29099)
LCD for Chiropractic Services (L29099) Contractor Information Contractor Name First Coast Service Options, Inc. Contractor Number 09102 Contractor Type MAC - Part B LCD ID Number L29099 LCD Information
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 informationColossus Important Diagnoses. Instructions for How to List Diagnoses
1 Colossus Important Diagnoses Instructions for How to List Diagnoses 1. Only list diagnoses on HCFA-1500 or CMS-1500 billing forms 2. Use as many billing forms/pages as necessary (4 diagnoses per billing
More informationChiropractic. Manual for Physicians and Providers Chiropractic
Chiropractic www.bcbsfl.com 1 Introduction This section of the Manual for Physicians and Providers contains Chiropractic Billing and Coding Guidelines, developed with consideration of the latest coding
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 informationMEDICAL POLICY Chiropractic Services & Spinal Manipulation
POLICY........ PG-0150 EFFECTIVE......01/13/15 LAST REVIEW... 06/14/16 MEDICAL POLICY Chiropractic Services & Spinal Manipulation GUIDELINES This policy does not certify benefits or authorization of benefits,
More informationDISEASES OF THE MUSKULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
DISEASES OF THE MUSKULOSKELETAL SYSTEM AND CONNECTIVE TISSUE ARTHROPATHIES AND RELATED DISORDERS (710 719.9) 710 DIFFUSE DISEASES OF CONNECTIVE TISSUE 710.0 SYSTEMIC LUPUS ERYTHEMATOSUS 710.1 SYSTEMIC
More informationPhysical Therapy. Physical Therapy Payment Policy Policy number M.RTH.02.120301 effective 10/01/2015. Page 1
Physical Therapy I. Policy University Health Alliance (UHA) will reimburse for physical therapy when it is determined to be medically necessary and when it meets the medical criteria guidelines (subject
More informationOccupational Therapy
Occupational Therapy I. Policy University Health Alliance (UHA) will reimburse for occupational therapy when it is determined to be medically necessary and when it meets the medical criteria guidelines
More informationCoding and Payment Guide for Anesthesia Services. An essential coding, billing, and reimbursement resource for anesthesiology and pain management
Coding and Payment Guide for Anesthesia Services An essential coding, billing, and reimbursement resource for anesthesiology and pain management 2011 Contents Introduction...1 Coding Systems... 1 Claim
More informationEVALUATION AND MANAGEMENT SERVICES
Subject: Chiropractic Policy Effective Date: 04/01/16 Revision Date: DESCRIPTION OSU Health Plans limit coverage of chiropractic services to the treatment of acute and subacute subluxation/sprain conditions
More informationAppendix A Partial Pick List of Injury and Sequelae Codes (ICD-10-CA)
What are ICD-10 and ICD-10-CA? The International Statistical Classification of Diseases and Related Health Problems - Tenth Revision (ICD-10) is an international standard for reporting diseases, injuries,
More informationCHAPTER 515 COVERED SERVICES, LIMITATIONS, AND EXCLUSIONS FOR OCCUPATIONAL/PHYSICAL THERAPY SERVICES CHANGE LOG
CHAPTER 515 COVERED SERVICES, LIMITATIONS, AND EXCLUSIONS FOR OCCUPATIONAL/PHYSICAL THERAPY SERVICES CHANGE LOG Replace Title Change Date Effective Date Section 515.1 Definitions 02/08/05 05/01/05 Section
More informationOccupational Therapy
Occupational Therapy Policy Number: Original Effective Date: MM.09.003 07/15/2003 Line(s) of Business: Current Effective Date: HMO; PPO; EUTF; HSTA; QUEST; Federal Plan 87 02/01/2012 Line(s) of Business
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 informationAnesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes
Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant expansions or
More informationPhysical Therapy MM.09.005 07/15/2003
Physical Therapy Policy Number: Original Effective Date: MM.09.005 07/15/2003 Line(s) of Business: Current Effective Date: HMO; PPO; EUTF; HSTA; QUEST; Federal Plan 87 09/28/2012 Line(s) of Business Excluded:
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 informationPhysical Therapy/Occupational Therapy Utilization Management Program FAQs November 2015
Physical Therapy/Occupational Therapy Utilization Management Program FAQs November 2015 Background: Effective November 1, 2015, Anthem Blue Cross and Blue Shield (Anthem) implemented a physical therapy
More informationCooled RF Systems. Cooled RF Systems. Reimbursement Guide
Kimberly-Clark* Reimbursement Guide Kimberly-Clark * Pain Management Cooled RF Systems Reimbursement Guide Table of Contents Introduction... 3 Disc Biacuplasty (TransDiscal* System)... 5 SInergy* System...
More informationTimed Therapeutic Procedures
Timed Therapeutic Procedures Policy Number: 10.01.526 Last Review: 4/2015 Origination: 4/2009 Next Review: 4/2016 Policy Documentation to support the reporting of timed procedure codes is required. The
More information2001 physical therapy and occupational therapy CPT and HCPCS code changes
May 2001 No. 2001-12 PHC 1795 To: Nursing Homes Occupational s Physical s Rehabilitation Agencies Therapy Groups HMOs and Other Managed Care Programs 2001 physical therapy and occupational therapy and
More informationMedical Drug Monitoring ICD-10-CM Sign and Symptom Codes
Medical Drug Monitoring ICD-10-CM Sign and Symptom s The ICD-10-CM codes listed below are commonly associated with LabCorp and MedTox Laboratories for medical drug monitoring and were selected based on
More informationChiropractic. Table of Contents SCHEDULE OF FEES. Schedule PROGRAMS OF CARE
Fee Schedule Chiropractic PROGRAMS OF CARE Workers who require treatment for a musculoskeletal injury or recurrence will be treated in a Program of Care (POC). Three Programs of Care address musculoskeletal
More informationICD-9 to ICD-10 Conversion Chart for Massage Therapists code description ICD9 / 10 250 Diabetes 9 E08 Diabetes Mellitus 10 307.81 Headaches, tension
ICD-9 to ICD-10 Conversion Chart for Massage Therapists code description ICD9 / 10 250 Diabetes 9 E08 Diabetes Mellitus 10 307.81 Headaches, tension 9 G44.209 Tension-type headache, unspecified, not intractable
More informationUTILIZING STRAPPING AND TAPING CODES FOR HEALTH CARE REIMBURSEMENT:
UTILIZING STRAPPING AND TAPING CODES FOR HEALTH CARE REIMBURSEMENT: A GUIDE TO BILLING FOR SPIDERTECH PRE-CUT APPLICATIONS AND TAPE Billing and coding taping and strapping services can be a complex issue.
More informationICD-9-CM to ICD-10-CM Resource Guide
Prescription Drug Monitoring and Toxicology ICD-9-CM to ICD-10-CM Resource Guide Provided as a service of Quest Diagnostics ICD-9-CM to ICD-10-CM Resource Guide 1 Disclaimer This list is intended to assist
More informationPhysical Therapy 12/4/2014. Agenda. Time Based Billing. Presented by Regan Tyler, CPC, CPC-H, CPC-I, CPMA, CEMC Senior Consultant & NAMAS Instructor
Physical Therapy Presented by Regan Tyler, CPC, CPC-H, CPC-I, CPMA, CEMC Senior Consultant & NAMAS Instructor Agenda Time based billing Therapeutic procedure(s) documentation Group therapy documentation
More informationCOOLIEF* Cooled Radiofrequency Systems COOLIEF* COOLED RADIOFREQUENCY REIMBURSEMENT GUIDE
COOLIEF* COOLED RADIOFREQUENCY REIMBURSEMENT GUIDE HALYARD* Pain Management Cooled RF Systems Reimbursement Guide Table of Contents Introduction... 3 COOLIEF* TRANSDICAL* Disc Biacuplasty Cooled Radiofrequency...
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 informationICD-10: Supporting you Over the Hurdles
ICD-10: Supporting you Over the Hurdles Presented by Evan M. Gwilliam DC MBA BS CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA Vice President, ChiroCode 1 Overview ICD-10 fundamentals and navigation Diagnosis coding
More informationICD-10 The Nuts and Bolts
ICD-10 The Nuts and Bolts On Behalf Of: Association of New Jersey Chiropractors Presented by: David Klein CPC, CHC, DISCLAIMER & TERMS THIS PRESENTATION WAS CREATED IN ORDER TO HELP HEALTH CARE PROFESSIONALS,
More informationPreschool/School Supportive Health Services Program (SSHSP)
SSHSP providers must use this select list of Current Procedural Terminology () codes to bill Medicaid for SSHSP services. This handout contains codes for the following SSHSP services that can be billed
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 information1 REVISOR 5223.0070. (4) Pain associated with rigidity (loss of motion or postural abnormality) or
1 REVISOR 5223.0070 5223.0070 MUSCULOSKELETAL SCHEDULE; BACK. Subpart 1. Lumbar spine. The spine rating is inclusive of leg symptoms except for gross motor weakness, bladder or bowel dysfunction, or sexual
More informationImplementation of International Classification. Survival Strategies for Tsunami of ICD-10-CM for Interventionalists: Pursue or Perish!
Pain Physician 2015; 18:E685-E712 ISSN 2150-1149 Health Policy Review Survival Strategies for Tsunami of ICD-10-CM for Interventionalists: Pursue or Perish! Laxmaiah Manchikanti, MD 1, Marvel J. Hammer,
More informationMedicare Diagnosis By Dr. Ron Short, DC, MCS-P
Medicare Diagnosis By Dr. Ron Short, DC, MCS-P Diagnosis o The diagnosis is one of two codes that you place on the CMS 1500 form when you submit a claim. o The diagnosis communicates the patient s condition
More informationCoding and Billing for Physical Therapy and Occupational Therapy Services
Coding and Billing for Physical Therapy and Occupational Therapy Services -CPT Codes-97000 series -Timed Based Codes -Service Based Codes -CMS - "8" Minute Rule -ICD-9 codes -CCI edits -HCPCS(DME) MODALITIES
More informationChiropractic Reference Manual
Chiropractic Reference Manual Table of Contents Overview... 3 Definitions... 4 Documentation Guidelines... 5 Daily Treatment Documentation Documentation for Initial/New Patient Diagnosis Codes... 7 Modifiers...
More informationORIGINAL ARTICLE. Patient characteristics upon initial presentation to chiropractic teaching clinics: A descriptive study conducted at one university
ORIGINAL ARTICLE Patient characteristics upon initial presentation to chiropractic teaching clinics: A descriptive study conducted at one university Martha A. Kaeser, DC, Cheryl Hawk, DC, PhD, and Michelle
More informationDiagnostic Imaging Exams
Guide for Chiropractors Diagnostic Imaging Exams CREATED FOR OUR CHIROPRACTIC PARTNERS This document has been prepared by the specialized, board-certified radiologists who interpret patient exams for Center
More informationPhysical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy
REIMBURSEMENT POLICY Policy Number Physical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy 2015R0101B Annual Approval Date 7/8/2015 Approved By Payment Policy Oversight Committee
More informationCPT 76977, 77078, 77079, 77080, 77081, 77083, or HCPCS G0130:
Bone Mass Measurements Coverage Information Noridian Administrative Services (NAS), LLC, is providing coverage information regarding Bone Mass Measurements (BMM) in response to multiple provider inquiries.
More informationClosed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario
Page 1 Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Injury Descriptions Developed from Newfoundland claim study injury definitions No injury Death Psychological
More informationHow to Get and Keep a Healthy Back. Amy Eisenson, B.S. Exercise Physiologist
How to Get and Keep a Healthy Back Amy Eisenson, B.S. Exercise Physiologist Lesson Objectives Statistics of Back Pain Anatomy of the Spine Causes of Back Pain Four Work Factors Core Muscles Connection
More informationReview of Texas Medicaid Acute Care Therapy Programs. Prepared by: Strategic Decision Support Health and Human Services Commission
Review of Acute Care Therapy Programs Prepared by: Strategic Decision Support Health and Human Services Commission February 25, 2015 TABLE OF CONTENTS TABLE OF CONTENTS. i INTRODUCTION, BACKGROUND, & SUMMARY
More informationMEDICAL POLICY No. 91531-R2 SPINE CENTERS OF EXCELLENCE
SPINE CENTERS OF EXCELLENCE Effective Date: October 1, 2015 Review Dates: 6/07, 6/08, 6/09, 6/10, 6/11, 6/12, 6/13, 8/14, 8/15 Date Of Origin: June 13, 2007 Status: Current Summary of Changes Clarifications:
More informationCurrent Diagnosis Codes
Current Diagnosis Codes ICD Code DMBA 034.0 075 242.90 244.9 272.0 272.4 274.0 285.9 300.0 300.5 309.9 310.9 311 332.0 337.9 340 342.90 346.90 350.1 351.0 353.0 354.0 354.2 355.0 355.1 355.8 356.9 357.0
More informationAcute and Sub-Acute Low Back Pain Functional Status Outcome Measure 2015 Direct Data Submission (04/01/2015 to 06/30/2015 Dates of Service)
(04/01/2015 to 06/30/2015 Dates of Service) Pilot Measure Specifications Description Methodology Rationale Acute and Sub-Acute Low Back Pain The average change in functional status within 12 weeks of a
More informationREHABILITATION SERVICES (OUTPATIENT)
REHABILITATION SERVICES (OUTPATIENT) Protocol: MSC028 Effective Date: March 1, 2016 Table of Contents Page COMMERCIAL COVERAGE RATIONALE... 1 DEFINITIONS... 2 APPLICABLE CODES... 4 REFERENCES... 7 POLICY
More informationLinks in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website.
Local Coverage Determination (LCD): NERVE Blockade for Treatment of Chronic Pain and Neuropathy (L35457) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website.
More informationSPINE. Postural Malalignments 4/9/2015. Cervical Spine Evaluation. Thoracic Spine Evaluation. Observations. Assess position of head and neck
SPINE Observations Body type Postural alignments and asymmetries should be observed from all views Assess height differences between anatomical landmarks Figure 25-9 Figure 25-10 Figure 25-11 & 12 Postural
More informationCPT Codes Defined and Demystified
CPT Codes Defined and Demystified Office Visits, E&M, Evaluation and Management: Distinguish New or Established patient Must have a Diagnosis Charting reflects: Problem Focus, Complexity of History and
More informationStandard of Care: Cervical Radiculopathy
Department of Rehabilitation Services Physical Therapy Diagnosis: Cervical radiculopathy, injury to one or more nerve roots, has multiple presentations. Symptoms may include pain in the cervical spine
More informationICD-10 Boot Camp. Objectives 5/29/2015. Association of New Jersey Chiropractors
ICD-10 Boot Camp On Behalf of: Association of New Jersey Chiropractors Presented by: David Klein CPC, CHC, Objectives Gain a basic understanding of ICD-10 Understand the reason for the transition Identify
More informationProcedure. 2 29827 $ 3,560 $ 1,476 Arthroscopy, shoulder, surgical; with rotator cuff repair 5.5% 241.1%
Exhibit 1 Top 50% of Payments for Surgical s (Physician costs) On average, Workers' payments for Surgical s in are 256% the average allowed claim costs for Healthcare in. $6,000 $5,000 $4,000 Allowed Claim
More informationLocal Coverage Determination (LCD): Spinal Cord Stimulation (Dorsal Column Stimulation) (L34705)
Local Coverage Determination (LCD): Spinal Cord Stimulation (Dorsal Column Stimulation) (L34705) Contractor Information Contractor Name Novitas Solutions, Inc. LCD Information Document Information LCD
More informationSpine IQ/CECity Low Back Pain QCDR for 2016
Spine IQ/CECity Low Back Pain QCDR for 2016 Measure #XXX: Repeated X-ray Imaging National Quality Strategy Domain: Patient Safety/Efficiency and Cost Reduction DESCRIPTION: Percent of patients with low
More informationPhysical and Occupational Therapy Services Program Rulebook
Health Services Office of Medical Assistance Programs Physical and Occupational Therapy Services Program Rulebook Includes: 1) Table of Contents 2) Current Update Information (changes since last update)
More informationA Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)
A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) Introduction Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a phenomenon that more commonly affects older males. It is associated
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 informationSpine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord.
Spine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord. Normal List Kyphosis The human spine has 7 Cervical vertebra
More informationICD-9-CM coding for patients with Spinal Cord Injury*
ICD-9-CM coding for patients with Spinal Cord Injury* indicates intervening codes have been left out of this list. OTHER DISORDERS OF THE CENTRAL NERVOUS SYSTEM (340-349) 344 Other paralytic syndromes
More informationMeasure Name: Low Back Pain Imaging Studies Measure Code: LBP Lab Data: N
Measure Name: Low Back Pain Imaging Studies Owner: NCQA (LBP) Measure Code: LBP Lab Data: N Rule Description: General Criteria Summary The percentage of patients 18-50 years of age who had a principal
More informationChiropractic Services Corporate Medical Policy
Chiropractic Services Corporate Medical Policy File Name: Chiropractic Services File Code: UM. SPSVC.03 Origination: 07/22/1997 Last Review: 01/2016 Next Review: 03/2017 Effective Date: 2/01/2016 Description
More informationRule of Thumb: think do I need to stabilise, strengthen or mobilise?
Remedial/Rehabilitation - Spine General advice Do not work with any condition that you do not feel comfortable with - if in doubt, refer to a specialist and work under their guidance Work out susceptibility/what
More informationSciatica Yuliya Mutsa PTA 236
Sciatica Yuliya Mutsa PTA 236 Sciatica is a common type of pain affecting the sciatic nerve, which extends from the lower back all the way through the back of the thigh and down through the leg. Depending
More informationPhysical and Occupational Therapy Services Program Rulebook
Division of Medical Assistance Programs Physical and Occupational Therapy Services Program Rulebook Includes: 1) Table of Contents 2) Current Update Information (changes since last update) 3) Other Provider
More informationSpine Evaluation. Copyright 2004, Yoshiyuki Shiratori. All right reserved.
Spine Evaluation 1. History Chief Complaint: A. What happened? B. Is it a sharp or dull pain? C. How long have you had the pain? D. Can you pinpoint the pain? E. Do you have any numbness or tingling? Mechanism:
More information2015 Spinal Procedure Coding Reference
12 2014 HOSPITAL CODING MANUAL CHAPTER 5: 2014 SPINAL PROCEDURE REFERENCE 2015 Spinal Procedure Coding Reference COMPUTER ASSISTED SURGERY (CAS) 00.31 CAS with CT/CTA 00.32 CAS with MR/MRA 00.33 CAS with
More informationCertified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes
Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant
More informationThe information contained in these notes is for educational purposes and is not intended to be and is not legal advice.
PART 3: ICD-10 Coding of Diseases and Conditions (2 Hours) With Mario Fucinari DC, MCS-P Certified Insurance Consultant Certified Medical Compliance Specialist (MCS-P) Presented by Foot Levelers The information
More informationHow To Get Reimbursed For A Car Accident
PRAETORIAN INSURANCE COMPANY PERSONAL INJURY PROTECTION IMPORTANT NOTICE TO POLICYHOLDERS MEDICAL PROTOCOLS DECISION POINT REVIEW: Pursuant to N.J.A.C. 11:3-4, the New Jersey Department of Banking and
More informationMEDICAL COVERAGE POLICY SERVICE: Chiropractic Services. PRIOR AUTHORIZATION: Required for commercial lines of business. POLICY: Exclusions:
Important note Even though this policy may indicate that a particular service or supply may be considered covered, this conclusion is not based upon the terms of your particular benefit plan. Each benefit
More informationSpine Biomechanics, Intervertebral Disc &LBP
Spine Biomechanics, Intervertebral Disc &LBP Spine Cervical Spine Seven vertebrae C 1-71 More flexible Supports the head Wide range of motion Rotation to left and right Flexion Up and down Peripheral
More informationCorporate Medical Policy Spinal Manipulation under Anesthesia
Corporate Medical Policy Spinal Manipulation under Anesthesia File Name: Origination: Last CAP Review: Next CAP Review: Last Review: spinal_manipulation_under_anesthesia 5/1998 1/2015 1/2016 1/2015 Description
More informationIntroduction: Anatomy of the spine and lower back:
Castleknock GAA club member and Chartered Physiotherapist, James Sherry MISCP, has prepared an informative article on the common causes of back pain and how best it can be treated. To book a physiotherapy
More informationOsteopathic Manipulative Treatment is a distinct and separate procedure,
The Science of Medicine The Art of Caring The Power of Touch The purpose of this letter is to request reconsideration of your denial of the Evaluation and Management service (with the -25 modifier) when
More informationPreschool/School Supportive Health Services Program (SSHSP)
Evaluation 90801 2000 PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION Psychotherapy includes continuing psychiatric evaluation, codes 90801 and 90802 are not separately reportable with individual psychotherapy
More informationAn Easy Guide to TENS Pain Relief. Distibuted By: LgMedSupply.com PO Box 913 Cherry Hill, NJ 08003 www.lgmedsupply.com
An Easy Guide to TENS Pain Relief Distibuted By: LgMedSupply.com PO Box 913 Cherry Hill, NJ 08003 www.lgmedsupply.com 1 LOW BACK PAIN MODE: C Mode PULSE WIDTH: 260 PULSE RATE: 50-80Hz comfortable intensity
More informationSPINE ANATOMY AND PROCEDURES. Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132
SPINE ANATOMY AND PROCEDURES Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132 SPINE ANATOMY The spine consists of 33 bones called vertebrae. The top 7 are cervical, or neck
More informationHow To Bill For Physical Therapy
Procedure Codes for Occupational & Physical Therapy Practitioners BILLING CPT DEFINITION HOW ABBREV. CODE BILLED P 97001 Physical Therapy Evaluation Event B 97002 Physical Therapy Re-evaluation Event O
More informationDECISION POINT REVIEW AND PRE-CERTIFICATION REQUIREMENTS UNDER YOUR AUTO POLICY
PAC 3606 TL (Ed. 1/06) Twin Lights Decision Point Review Plan DECISION POINT REVIEW AND PRE-CERTIFICATION REQUIREMENTS UNDER YOUR AUTO POLICY The following provisions apply in the event that you (or anyone
More informationLOW BACK PAIN EXAMINATION
LOW BACK PAIN EXAMINATION John Petty, M.D. Medical Director Department of Physical Medicine & Rehabilitation Kettering Medical Center February 8, 2014 PRE-TEST QUESTION What part of the low back physical
More informationLow Back Injury in the Industrial Athlete: An Anatomic Approach
Low Back Injury in the Industrial Athlete: An Anatomic Approach Earl J. Craig, M.D. Assistant Professor Indiana University School of Medicine Department of Physical Medicine and Rehabilitation Epidemiology
More informationInformation on the Chiropractic Care of Lower Back Pain
Chiropractic Care of Lower Back Pain Lower back pain is probably the most common condition seen the the Chiropractic office. Each month it is estimated that up to one third of persons experience some type
More informationNerve Conduction Velocity (NCV) & Electromyography (EMG) Studies
Nerve Conduction Velocity (NCV) & Electromyography (EMG) Studies [Preauthorization Required] Medical Policy: MP-ME-09-09 Original Effective Date: November 5, 2010 Reviewed: November 5, 2010 Reviewed: November
More information