Is 97545 a timed code?

The code 97545 is for the time period included in the first 2 hours and the code 97546 includes the time period for each additional hour (after the first 2 hours). Normally these codes are used to report services to a patient’s Workers Compensation program and are only rarely used for Medicare.

Is work hardening covered by insurance?

Work Hardening is not covered. It is considered not medically necessary because it is not intended to treat a medical condition.

What is the CPT code for functional capacity evaluation?

Some examples of testing that are typically reported with CPT code 97750 include: isokinetic testing for assessing the combination of strength, endurance and power while performing certain movements with the trunk or extremities, functional capacity testing, and specific test and measures related to balance such as the …

Is CPT code 97112 A timed code?

The CPT® 97112 procedure requires direct one- on -one patient contact by a physician or therapist. The descriptor for this procedure reflects 15-minute intervals. If a procedure lasts more than 15 minutes, the CPT® code can be reported for each 15-minute interval.

What is the CPT code for work conditioning?

Note: Work Conditioning programs are defined as General Occupational Rehabilitation Programs in the CARF manual, and are designated with CPT Codes 97545 or 97546 and modifier “WC” when billing.

How much does a work hardening program cost?

The cost of the work hardening program was $5,400 (27 days, com- prised of 4 to Shour sessions), in- cluding the functional capacity evalu- ation.

What does CPT code 97799 mean?

Unlisted physical medicine/rehabilitation service or procedure
Per the American Medical Association (AMA), CPT code 97799 is defined as “Unlisted physical medicine/rehabilitation service or procedure”. CPT code 97799 would be used when the therapy service or procedure provided is not described by a more specific CPT code.

CPT codes 97545 and 97546 report work hardening/work conditioning. CPT code 97545 reports the first two hours and CPT code 97546 reports each additional hour.

What is the CPT code for observation?

CPT codes 99234-99236, observation or inpatient care, are used when the patient is placed in observation status or admitted to inpatient status and then discharged on the same date.

What is CPT code 97150?

The Current Procedural Terminology (CPT) code 97150 as maintained by American Medical Association, is a medical procedural code under the range-Physical Medicine and Rehabilitation Therapeutic Procedures.

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