Osteoarthrosis, unspecified whether generalized or localized, lower leg. Osteoarthrosis, localized, not specified whether primary or secondary, pelvic
|
|
- Kristopher Barton
- 5 years ago
- Views:
Transcription
1 Page 1 Appendix TABLE E-1 Codes (and Definitions) in Humana Database Used for Study Inclusion and Exclusion of Patients Who Underwent,, or 1 to 2-Level Inclusion ICD-9-P-8154 Total knee replacement ICD-9-D Osteoarthrosis, unspecified whether generalized or localized, lower leg ICD-9-D Osteoarthrosis, localized, not specified whether primary or secondary, lower leg ICD-9-D Osteoarthrosis, localized, primary, lower leg ICD-9-D CPT ICD-9-P-8151 ICD-9-D ICD-9-D ICD-9-D ICD-9-D CPT ICD-9-P-8107 ICD-9-P-8108 ICD-9-P-8162 ICD-9-D ICD-9-D-7384 ICD-9-D ICD-9-D ICD-9-D-7213 ICD-9-D-7244 ICD-9-D ICD-9-D Exclusion //: coexisting or prior diagnoses/procedures ICD-9-D-8208 ICD-9-D ICD-9-D-7140 ICD-9-D ICD-9-D-9596 ICD-9-D-E8859 ICD-9-D ICD-9-D ICD-9-D ICD-9-D ICD-9-D ICD-9-D ICD-9-D-9053 ICD-9-D ICD-9-D-8080 ICD-9-D-8209 ICD-9-D-8088 ICD-9-D Osteoarthrosis, unspecified whether generalized or localized, site unspecified Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Hip joint replacement Osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh Osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh Osteoarthrosis, localized, primary, pelvic region and thigh Osteoarthrosis, unspecified whether generalized or localized, site unspecified Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Lumbar and lumbosacral fusion of the posterior column, posterior technique Lumbar and lumbosacral fusion of the anterior column, posterior technique Fusion or refusion of 2-3 vertebrae Spinal stenosis, lumbar region, without neurogenic claudication Acquired spondylolisthesis Degeneration of lumbar or lumbosacral intervertebral disc Displacement of lumbar intervertebral disc without myelopathy Lumbosacral spondylosis without myelopathy Thoracic or lumbosacral neuritis or radiculitis, unspecified Spondylolisthesis Spinal stenosis, lumbar region, with neurogenic claudication Closed fracture of unspecified part of neck of femur Arthropathy, unspecified, pelvic region and thigh Rheumatoid arthritis Other closed transcervical fracture of neck of femur Hip and thigh injury Fall from other slipping, tripping, or stumbling Other congenital deformity of hip (joint) Closed fracture of intertrochanteric section of neck of femur Closed fracture of unspecified part of femur Closed fracture of intracapsular section of neck of femur, unspecified Closed fracture of base of neck of femur Pathologic fracture of neck of femur Late effect of fracture of neck of femur Closed fracture of trochanteric section of neck of femur Closed fracture of acetabulum Open fracture of unspecified part of neck of femur Closed unspecified fracture of pelvis Closed fracture of shaft of femur Page 1 of 6
2 Page 2 ICD-9-D ICD-9-P-7935 ICD-9-P-7915 ICD-9-P-0080 ICD-9-P-0074 ICD-9-P-0077 ICD-9-P-0075 ICD-9-P-8152 ICD-9-P-8086 ICD-9-P-0070 ICD-9-P-7865 ICD-9-P-0081 ICD-9-P-8456 ICD-9-P-8006 ICD-9-P-7855 ICD-9-P-0082 ICD-9-P-0071 ICD-9-P-8005 ICD-9-P-0073 ICD-9-P-0083 ICD-9-P-0084 ICD-9-P-0076 ICD-9-P-0072 ICD-9-D-3241 ICD-9-D ICD-9-D-3441 ICD-9-D ICD-9-D ICD-9-D-7210 ICD-9-D-7211 ICD-9-D ICD-9-D-7220 ICD-9-D ICD-9-D ICD-9-D ICD-9-D ICD-9-D-7230 ICD-9-D ICD-9-D ICD-9-D ICD-9-D ICD-9-D-8052 ICD-9-D-8054 ICD-9-D-V454 ICD-9-P-8102 ICD-9-P-8103 ICD-9-P-8104 ICD-9-P-8105 ICD-9-P-8106 ICD-9-P-8163 ICD-9-P-8164 Peri-prosthetic fracture around prosthetic joint Open reduction of fracture with internal fixation, femur Closed reduction of fracture with internal fixation, femur Revision of knee replacement, total (all components) Hip bearing surface, metal-on-polyethylene Hip bearing surface, ceramic-on-polyethylene Hip bearing surface, metal-on-metal Partial hip replacement Other local excision or destruction of lesion of joint, knee Revision of hip replacement, both acetabular and femoral components Removal of implanted devices from bone, femur Revision of knee replacement, tibial component Insertion or replacement of (cement) spacer Arthrotomy for removal of prosthesis without replacement, knee Internal fixation of bone without fracture reduction, femur Revision of knee replacement, femoral component Revision of hip replacement, acetabular component Arthrotomy for removal of prosthesis without replacement, hip Revision of hip replacement, acetabular liner and/or femoral head only Revision of knee replacement, patellar component Revision of total knee replacement, tibial insert (liner) Hip bearing surface, ceramic-on-ceramic Revision of hip replacement, femoral component Intraspinal abscess Quadriplegia, unspecified Paraplegia Cauda equina syndrome without mention of neurogenic bladder Cauda equina syndrome with neurogenic bladder Cervical spondylosis without myelopathy Cervical spondylosis with myelopathy Spondylosis with myelopathy, thoracic region Displacement of cervical intervertebral disc without myelopathy Displacement of thoracic intervertebral disc without myelopathy Intervertebral disc disorder with myelopathy, cervical region Intervertebral disc disorder with myelopathy, thoracic region Postlaminectomy syndrome, lumbar region Spinal stenosis in cervical region Spinal stenosis, thoracic region Unspecified osteomyelitis, other specified sites Scoliosis [and kyphoscoliosis], idiopathic Other kyphoscoliosis and scoliosis Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury Closed fracture of lumbar vertebra without mention of spinal cord injury Arthrodesis status Other cervical fusion of the anterior column anterior technique Other cervical fusion of the posterior column posterior technique Dorsal and dorsolumbar fusion of the anterior column anterior technique Dorsal and dorsolumbar fusion of the posterior column, posterior technique Lumbar and lumbosacral fusion of the anterior column, anterior technique Fusion or refusion of 4-8 vertebrae Fusion or refusion of 9 or more vertebrae Page 2 of 6
3 Page 3 TABLE E-2 ICD-9 and 10 and CPT Codes Used to Identify Primary Outcome Measures in Humana Database Code Definition ED visits CPT CPT CPT CPT CPT Pain diagnosis on ED encounter G8918 M25561 M25562 M25569 M79609 R52 ICD-9-D ICD-9-D ICD-9-D-7295 ICD-9-D G8918 M25551 M25552 these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other providers 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. these 3 key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of low complexity. Counseling and/or coordination of care with other providers 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. these 3 key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers 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. these 3 key components: a detailed history; a detailed examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers 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 high severity and require urgent evaluation by the physician but do not pose an immediate significant threat to life or physiologic function. these 3 key components within the constraints imposed by the urgency of the patient s clinical condition and/or mental status: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers 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 high severity and pose an immediate significant threat to life or physiologic function. Other acute postprocedural pain Pain in right knee Pain in left knee Pain in unspecified knee Pain in unspecified limb Pain unspecified Other acute postoperative pain Pain in joint lower leg Pain in limb Generalized pain Other acute postprocedural pain Pain in right hip Pain in left hip Page 3 of 6
4 Page 4 M25559 M79609 R52 ICD-9-D ICD-9-D ICD-9-D ICD-9-D-7295 G8918 M5410 M5416 M5417 M5430 M545 M792 M79609 M961 R52 ICD-9-D ICD-9-D ICD-9-D ICD-9-D-7242 ICD-9-D-7243 ICD-9-D-7244 ICD-9-D-7245 ICD-9-D-7292 ICD-9-D-7295 ICD-9-D Fall W19XXXA Z9181 ICD-9-D-E8889 ICD-9-D-V1588 DVT/PE I2699 I82409 T8481XA ICD-9-D ICD-9-D ICD-9-D ICD-9-D ICD-9-D ICD-9-D-4539 Wound dehiscence and infection S81009A T8131XA T814XXA Pain in unspecified hip Pain in unspecified limb Pain unspecified Other acute postoperative pain Other acute pain Pain in joint pelvic region and thigh Pain in limb Other acute postprocedural pain Radiculopathy site unspecified Radiculopathy lumbar region Radiculopathy lumbosacral region Sciatica unspecified side Low back pain Neuralgia and neuritis unspecified Pain in unspecified limb Postlaminectomy syndrome not elsewhere classified Pain unspecified Other acute postoperative pain Other acute pain Postlaminectomy syndrome lumbar region Lumbago Sciatica Thoracic or lumbosacral neuritis or radiculitis unspecified Backache unspecified Neuralgia neuritis and radiculitis unspecified Pain in limb Other musculoskeletal symptoms referable to limbs Unspecified fall, initial encounter History of falling Unspecified fall History of fall Other pulmonary embolism without acute cor pulmonale Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity Embolism due to internal orthopaedic prosthetic devices implants and grafts initial encounter Iatrogenic pulmonary embolism and infarction Other pulmonary embolism and infarction Acute venous embolism and thrombosis of unspecified deep vessels of lower extremity Acute venous embolism and thrombosis of deep vessels of proximal lower extremity Acute venous embolism and thrombosis of deep vessels of distal lower extremity Other venous embolism and thrombosis of unspecified site Unspecified open wound unspecified knee initial encounter Disruption of external operation (surgical) wound not elsewhere classified initial encounter Infection following a procedure initial encounter Page 4 of 6
5 Page 5 T8189XA T8450XA ICD-9-D-6826 ICD-9-D-6829 ICD-9-D-6869 ICD-9-D ICD-9-D-8910 ICD-9-D ICD-9-D ICD-9-D ICD-9-D L03119 L0390 S71009A T8131XA T814XXA T8450XA ICD-9-D-6829 ICD-9-D ICD-9-D ICD-9-D-8900 ICD-9-D-8901 ICD-9-D ICD-9-D ICD-9-D ICD-9-D ICD-9-D ICD-9-D G061 L0390 S31000A T8130XA T8131XA T814XXA T847XXA ICD-9-D-3241 ICD-9-D-6829 ICD-9-D-8760 ICD-9-D-8761 ICD-9-D ICD-9-D Other complications of procedures not elsewhere classified initial encounter Infection and inflammatory reaction due to unspecified internal joint prosthesis initial encounter Cellulitis and abscess of leg except foot Cellulitis and abscess of unspecified sites Unspecified local infection of skin and subcutaneous tissue Pyogenic arthritis lower leg Open wound of knee leg [except thigh] and ankle without mention of complication Infection and inflammatory reaction due to internal joint prosthesis Disruption of external operation (surgical) wound Other postoperative infection Non-healing surgical wound Cellulitis of unspecified part of limb Cellulitis unspecified Unspecified open wound unspecified hip initial encounter Disruption of external operation (surgical) wound not elsewhere classified initial encounter Infection following a procedure initial encounter Infection and inflammatory reaction due to unspecified internal joint prosthesis initial encounter Cellulitis and abscess of unspecified sites Pyogenic arthritis pelvic region and thigh Unspecified infective arthritis pelvic region and thigh Open wound of hip and thigh without mention of complication Open wound of hip and thigh complicated Infection and inflammatory reaction due to internal joint prosthesis Infection and inflammatory reaction due to other internal orthopaedic device implant and graft Disruption of external operation (surgical) wound Infected postoperative seroma Other postoperative infection Non-healing surgical wound Intraspinal abscess and granuloma Cellulitis unspecified Unspecified open wound of lower back and pelvis without penetration into retroperitoneum initial encounter Disruption of wound unspecified initial encounter Disruption of external operation (surgical) wound not elsewhere classified initial encounter Infection following a procedure initial encounter Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices implants and grafts initial encounter Intraspinal abscess Cellulitis and abscess of unspecified sites Open wound of back without mention of complication Open wound of back complicated Infection and inflammatory reaction due to other internal orthopaedic device implant and graft Disruption of wound unspecified Page 5 of 6
6 Page 6 ICD-9-D ICD-9-D ICD-9-D ICD-9-D Systemic infection and sepsis A419 J189 R5082 R509 ICD-9-D-0389 ICD-9-D-486 ICD-9-D ICD-9-D ICD-9-D Revision surgery 0SWC0JZ 0SWCXJZ 0SWD09Z 0SWD0JZ 0SWDXJZ ICD-9-P-0080 ICD-9-P-0081 ICD-9-P-0082 ICD-9-P-0084 ICD-9-P-8155 ICD-9-P-8456 ICD-9-P-0070 ICD-9-P-0071 ICD-9-P-0072 ICD-9-P-0073 ICD-9-P SW90JZ 0SW9XJZ 0SWB0JZ 0SWBXJZ ICD-9-P-0302 ICD-9-P-0309 ICD-9-P-8137 ICD-9-P JU0ZZ Disruption of external operation (surgical) wound Infected postoperative seroma Other postoperative infection Non-healing surgical wound Sepsis unspecified organism Pneumonia unspecified organism Postprocedural fever Fever unspecified Unspecified septicemia Pneumonia organism unspecified Fever unspecified Postprocedural fever Sepsis Revision of synthetic substitute in right knee joint, open approach Revision of synthetic substitute in right knee joint, external approach Revision of liner in left knee joint, open approach Revision of synthetic substitute in left knee joint, open approach Revision of synthetic substitute in left knee joint, external approach Revision of knee replacement total (all components) Revision of knee replacement tibial component Revision of knee replacement femoral component Revision of total knee replacement tibial insert (liner) Revision of knee replacement not otherwise specified Insertion or replacement of (cement) spacer Revision of hip replacement both acetabular and femoral components Revision of hip replacement acetabular component Revision of hip replacement femoral component Revision of hip replacement acetabular liner and/or femoral head only Insertion or replacement of (cement) spacer Revision of synthetic substitute in right hip joint, open approach Revision of synthetic substitute in right hip joint, external approach Revision of synthetic substitute in left hip joint, open approach Revision of synthetic substitute in left hip joint, external approach Reopening of laminectomy site Other exploration and decompression of spinal canal Refusion of lumbar and lumbosacral spine posterior column posterior technique Refusion of lumbar and lumbosacral spine anterior column posterior technique Inspection of spinal canal, open approach Page 6 of 6
Additional File 1. ICD9 Codes for chronic pain related diagnoses Dx Diagnosis Description Codes
Additional File 1. ICD9 Codes for chronic pain related diagnoses Dx Diagnosis Description Dx Diagnosis Description Codes Codes 327.52 Sleep related leg cramps 717 Old bucket handle tear of medial 333.84
More informationINDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on the code tables
More informationAnesthesia Top 50 Diagnoses (In Order of Usage) ~ 2014 ~
722.52 Degeneration of lumbar or lumbosacral M51.36 Other intervertebral disc generation lumbar intervertebral disc M51.37 Other intervertebral disc generation lumbosacral 721.3 Lumbosacral spondylosis
More informationLow back pain, radiculopathy left leg icd 10 code
Home Search Low back pain, radiculopathy left leg icd 10 code 2018 ICD - 10 code for Radiculopathy is M54.1. Lookup the complete ICD 10 Code details for M54.1.. Low back pain ; M54.6 - Pain in thoracic
More information2016 OPAM Mid-Year Educational Conference, sponsored by AOCOPM Thursday, March 10, 2016 C-1
Long-term Outcomes of Lumbar Fusion Among Workers Compensation Subjects : An Historical Cohort Study Trang Nguyen M.D., Ph.D. David C. Randolph M.D, M.P.H. James Talmage MD Paul Succop PhD Russell Travis
More informationTop 100 Diagnosis Codes as Reported by HNS Physicians
Top 100 Diagnosis Codes as Reported by HNS Physicians Disclaimer: The information in the HNS Code Translator is based on the General Equivalency Mapping (GEM) files published by CMS, and are not intended
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 informationCurrent ICD-10 Codes
Current ICD-10 Codes Description (Facet Syndromes) M53.81 Other specified dorsopathies, occipito-atlanto-axial region M53.82 Other specified dorsopathies, cervical region M53.83 Other specified dorsopathies,
More informationComprehension of the common spine disorder.
Objectives Comprehension of the common spine disorder. Disc degeneration/hernia. Spinal stenosis. Common spinal deformity (Spondylolisthesis, Scoliosis). Osteoporotic fracture. Anatomy Anatomy Anatomy
More informationTop 100 Diagnosis Codes as Reported by HNS Physicians (Revised 08/30/16)
Top 100 Diagnosis Codes as Reported by HNS Physicians (Revised 08/30/16) Disclaimer: The information in the HNS Code Translator is based on the General Equivalency Mapping (GEM) files published by CMS,
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 informationChiropractic Code Set Chiropractor (150) Effective July 2003 Last Updated July 1, 2014
Chiropractic Code Set Chiropractor (150) Effective July 2003 Last Updated July 1, 2014 1. Tables 1 through 4 identify the procedure codes that should be billed to the Indiana Health Coverage Programs (IHCP)
More informationCLINICAL CONCEPTS FOR ORTHOPEDICS. CMS Clinical Concepts
CLINICAL CONCEPTS FOR ORTHOPEDICS CMS Clinical Concepts ICD 10 LESSONS FROM OFFICE DOCUMENTATION Presented by Dr. Frankeny OUR CHALLENGE: CHANGING OUR DOCUMENTATION ICD 10 Learn the nomenclature Documenting
More informationChiroCredit.com / OnlineCE.com presents Documentation 101 Part 4 of 10 Instructor: Paul Sherman, DC
Online Continuing Education Courses www.onlinece.com www.chirocredit.com ChiroCredit.com / OnlineCE.com presents Documentation 101 Part 4 of 10 Instructor: Paul Sherman, DC Important Notice: This download
More informationICD 10 CM DOCUMENTATION TIPS & CODE EXAMPLES
WORKSHOP 2: Orthopedic / Podiatry / Spine ICD 10 CM DOCUMENTATION TIPS & CODE EXAMPLES Ready. Set. Code! ICD 10 CM by Specialty NJHA Healthcare Business Solutions ARTERIOSCLEROSIS OF EXTREMITIES When documenting
More informationcontinued TABLE E-1 Potential Predictors of Short-Term Complications and Reoperations* Comparison Group OR 95% CI P Value
Page 1 of 7 TABLE E-1 Potential Predictors of Short-Term Complications and Reoperations* Pulmonary embolism Charlson comorbidity index 1.2 1.0 to 1.4 0.06 Hospital volume percentile, 40-79 80-100 0.8 0.4
More informationMedicare Regulations for Chiropractors. Presented by Clinic Pro Software Inc. Marilyn K. Gard. CEO, MBA
Medicare Regulations for Chiropractors Presented by Clinic Pro Software Inc. Marilyn K. Gard. CEO, MBA Use AT modifier which means active treatment. Claims submitted for Chiropractic manipulative treatment
More information2017 Addenda ICD-10-CM Tabular List Musculoskeletal
2017 enda ICD-10-CM Tabular List Musculoskeletal This chapter contains the following blocks: M04 Autoinflammatory syndromes M97 Periprosthetic fracture around internal prosthetic joint Autoinflammatory
More informationThe Business of Spine Coding Handbook For Spine Surgery 2015
The Business of Spine Coding Handbook For Spine Surgery 2015 1 The following Coding Concept Resource is not to be considered a replacement for the Current Procedural Terminology (CPT) book or the International
More informationEPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN
EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN UnitedHealthcare Oxford Clinical Policy Policy Number: PAIN 019.21 T2 Effective Date: October 1, 2017 Table of Contents Page INSTRUCTIONS FOR USE...
More informationNational Imaging Associates, Inc. Clinical guidelines CHIROPRACTIC SERVICES. Original Date: Page 1 of FOR CMS (MEDICARE) MEMBERS ONLY
National Imaging Associates, Inc. Clinical guidelines CHIROPRACTIC SERVICES CPT4 Codes: Please refer to pages 2-10 LCD ID Number: L35424 Novitas: J-H: DC, DE, MD, NJ, PA J-L: AR, CO, LA, MS, NM, OK, TX
More informationObjectives. Comprehension of the common spine disorder
Objectives Comprehension of the common spine disorder Disc degeneration/hernia Spinal stenosis Common spinal deformity (Spondylolisthesis, Scoliosis) Osteoporotic fracture Destructive spinal lesions Anatomy
More informationShellie Sulzberger, LPN, CPC, ICDCT-CM. Tracy Bird, FACMPE, CPC, CPMA, CEMC
Shellie Sulzberger, LPN, CPC, ICDCT-CM Tracy Bird, FACMPE, CPC, CPMA, CEMC Reasonable efforts have been made to provide the most accurate and current information on coding and documentation changes. However
More informationINDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on the code tables
More informationSAMPLE. Neurosurgery/ Neurology. A comprehensive illustrated guide to coding and reimbursement ICD-10. Coding Companion
Coding Companion www.optumcoding.com Neurosurgery/ Neurology A comprehensive illustrated guide to coding and reimbursement 2017 a ICD-10 A full suite of resources including the latest code set, mapping
More informationAnterior cervical diskectomy icd 10 procedure code
Home Anterior cervical diskectomy icd 10 procedure code Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to
More informationJAW. R68.84 Jaw pain M26.60 Temporomandibular joint disorder, unspecified
HEAD, JAW AND NECK HEADACHE M53.0 Cervicocranial Syndrome R51 Headache (excludes migraine and other headache syndromes) G44.209 Tension-type headache, unspecified, not intractable G44.309 Post-traumatic
More informationOperations included in the National Joint Registry (NJR) Quick links, go to: Hips > Knees > Ankles > Elbows > Shoulders > Trauma >
Operations included in the National Joint Registry (NJR) Quick links, go to: Hips > Knees > Ankles > Elbows > Shoulders > Trauma > Version 5 December 2013 1 Version control Version number Date Amendments
More informationMusculoskeletal System
Musculoskeletal System CPT CPT copyright 2011 American Medical Association. All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the
More informationFor more information call , or visit
Target Coding ICD-10 List for Chiropractic HEADACHE G43: Migraine G43.0: Migraine without aura (common migraine) G43.009: Migraine without aura, not intractable, without status migrainosus (migraine without
More informationMORE FOR MUSCLES PROGRAM
MORE FOR MUSCLES PROGRAM User guide for physiotherapists and physiotherapy code list (ICD-10-AM codes) MAY 2018 WELCOME TO THE MORE FOR MUSCLES PROGRAM The program reimburses 100% of the agreed charge
More informationICD-10 GEMs FY2016 Version Update
ICD-10 GEMs FY2016 Version Update Update Summary The updated FY2016 General Equivalence Mappings (GEMs) are posted for public comment. All changes to date resulting from public comment and internal review
More informationICD-10 Service Line Overview Musculoskeletal
ICD-10 Service Line Overview Musculoskeletal ICD-10 incorporates much greater clinical detail and specificity as well as updated terminology to be consistent with current clinical practices. ICD-10-CM
More informationFor HCPCS codes A0425, A0426, A0427, A0428, A0429, A0433 and A0434: Covered for Ambulance Transportation Services to the Site of Medical Care:
For HCPCS codes A0425, A0426, A0427, A0428, A0429, A0433 and A0434: Covered for Ambulance Transportation Services to the Site of Medical Care: 789.39 ABDOMINAL OR PELVIC SWELLING MASS OR LUMP OTHER SPECIFIED
More informationCodes for internal or external fixation are to be used only when internal or external fixation is not already listed as part of the basic procedure.
code it ALLOPURE Cancellous Allograft Wedge 2015 Reimbursement Codes The following codes contained within this document are representative of possible services or diagnoses that may be associated with
More informationCodes for internal or external fixation are to be used only when internal or external fixation is not already listed as part of the basic procedure.
HCPCS Device Codes HCPCS codes are developed and maintained by CMS and are used to report items such as medical devices, implants, drugs and supplies. C-codes are a special type of HCPCS code designed
More informationSurgical Cross Coder. Essential links from CPT codes to ICD-9-CM and HCPCS Codes
Surgical Cross Coder Essential links from CPT codes to ICD-9-CM and HCPCS Codes 2011 Contents Introduction... iii Format...iii Icon Key...iv CPT Codes...v Code Links...vi ICD-9 Diagnostic Codes...vi ICD-9-CM
More informationSurgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE
Surgical Care at the District Hospital 1 18 Orthopedic Trauma Key Points 2 18.1 Upper Extremity Injuries Clavicle Fractures Diagnose fractures from the history and by physical examination Treat with a
More informationICD-10 FOR NEUROSURGERY NERVES- Part II
ICD-10 FOR NEUROSURGERY NERVES- Part II J O H N F B I S H O P, P A - C, C P C, C P M A, C G S C, C P R C D I R E C T O R S U R G I C A L C O D I N G A N D A U D I T I N G S E R V I C E S S E N I O R M
More informationMP.094.MH Transcutaneous Electrical Nerve Stimulators
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL MP.094.MH Transcutaneous Electrical Nerve Stimulators This policy applies to the following lines of business: MedStar Employee (Select) MedStar MA DSNP
More informationAnatomy of the Musculoskeletal System
Anatomy of the Musculoskeletal System Kyle E. Rarey, Ph.D. Department of Anatomy & Cell Biology and Otolaryngology University of Florida College of Medicine Outline of Presentation Vertebral Column Upper
More informationAll Chiropractors and Chiropractic Clinics
P R O V I D E R B U L L E T I N B T 2 0 0 3 2 3 M A Y 1, 2 0 0 3 To: All Chiropractors and Chiropractic Clinics Subject: Overview The Office of Medicaid Policy and Planning (OMPP) has published new rules
More informationICD-10 CM Training. Orthopaedic
ICD-10 CM Training Orthopaedic ICD-10-CM Compliance Dates ICD-10-CM will be valid for dates of service on or after October 1, 2015 Outpatient dates of service of October 1, 2015 and beyond. Inpatient hospital
More informationLumbosacral plexus lesion Lumbosacral plexus disorders G54.1 Neuralgic amyotrophy Neuralgic amyotrophy G
ICD-9-CM and ICD-10-CM NEUROMUSCULAR DIAGNOSIS CODES Focal Neuropathy ICD-9-CM ICD-10-CM Mononeuropathy G56.00 Carpal tunnel syndrome 354.00 Other median nerve lesion 354.10 Lesion of ulnar nerve 354.20
More informationSupplementary appendix
Supplementary appendix This appendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Prada D, Zhong J, Colicino E, et al. Association
More informationICD 10 CM. Objectives: Session 2 Make the transition to ICD 10 CM as painless and seamless as possible. Questions from Session 1 9/4/2012
ICD 10 CM SESSION 2: Planning Develop an ICD 10 transition plan for your office and practice. Objectives: Session 2 Make the transition to ICD 10 CM as painless and seamless as possible Timeline for implementation
More informationPatient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques
Patient Information MIS LLIF Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Table of Contents Anatomy of Spine....2 General Conditions of the Spine....4 What is Spondylolisthesis....5
More informationIcd 10 degenerative joint disease back
Icd 10 degenerative joint disease back Search This article appeared in the January issue of the Radiology Coding & Compliance Expert. Many imaging studies are ordered because the patient is experiencing
More informationSpinal Terminology Basics
Spinal Terminology Basics Anterior The front portion of the body. It is often used to indicate the position of one structure relative to another. Annulus Fibrosus The outer, fibrous, ring like portion
More informationAetna Health Management HMO Products SouthEast Region (Including Arkansas) Medical and Non-Medical Approvals and Denials from 10/01/2017 to 12/31/2017
Aetna Health Management HMO Products SouthEast Region (Including Arkansas) Medical and Non-Medical Approvals and Denials from 10/01/2017 to 12/31/2017 Code Inpatient Medical and Non-Medical Approvals and
More informationOperations included in the National Joint Registry (NJR)
Operations included in the National Joint Registry (NJR) Quick links, go to: Hips > Knees > Ankles > Elbows > Shoulders > Trauma > Version 8 June 2018 1 Version control Version number Date Amendments 1
More informationPatient #1 A Spouse $534,946.73
Shock Loss Report MM & RX Combined PUNBR: 002 GRNBR: 248 Warning Amount: 100000 Over Amount: 200000 Incurred MM 1/1/2014 through 12/31/2016 PaidMM 1/1/2016 through 12/31/2016 Incurred RX 12/16/2015 through
More informationCAUTION Federal law (USA) restricts this device to sale, by or on the order of a physician.
CAUTION Federal law (USA) restricts this device to sale, by or on the order of a physician. ENGLISH Mpact 3D Metal Implants and Augments 3D Metal INSTRUCTION FOR USE Important notice: the device(s) can
More informationOriginal Date: December 2015 Page 1 of 8 FOR CMS (MEDICARE) MEMBERS ONLY
National Imaging Associates, Inc. Clinical guidelines TOTAL JOINT ARTHROPLASTY -Total Hip Arthroplasty -Total Knee Arthroplasty -Replacement/Revision Hip or Knee Arthroplasty CPT4 Codes: Please refer to
More informationOpen lateral release knee icd- 10
Open lateral release knee icd- 10 The Borg System is 100 % Open lateral release knee icd-10 2018 ICD-10-PCS Procedure Code 0SND0ZZ Release Left Knee Joint, Open Approach. 2016 2017 2018 Billable/Specific
More informationLocal Coverage Determination (LCD) for Chiropractic Services (L34816) (Posted for Notice)
Local Coverage Determination (LCD) for Chiropractic Services (L34816) (Posted for Notice) Print Contractor Information Contractor Name Novitas Solutions, Inc. Contractor Numbers 04911, 07101, 07102, 07201,
More informationTECHNICAL NOTES. for Knee and Hip Replacements. 225 Market Street, Suite 400, Harrisburg, PA Phone: Fax:
TECHNICAL NOTES for Knee and Hip Replacements April 2015 Pennsylvania Health Care Cost Containment Council Report Period: Calendar Year 2013 January 1, 2013 through December 31, 2013 Discharges 225 Market
More informationOriginal Date: October 2015 LUMBAR SPINAL FUSION FOR
National Imaging Associates, Inc. Clinical guidelines Original Date: October 2015 LUMBAR SPINAL FUSION FOR Page 1 of 9 INSTABILITY AND DEGENERATIVE DISC CONDITIONS FOR CMS (MEDICARE) MEMBERS ONLY CPT4
More informationContents SECTION 1: GENERAL TRAUMA AND RECONSTRUCTIVE HIP SURGERY
SECTION 1: GENERAL TRAUMA AND RECONSTRUCTIVE HIP SURGERY 1. Acetabular and Pelvic Fractures...3 2. Acetabular Orientation (Total Hips)...6 3. Acetabular Osteotomy...7 4. Achilles Tendon Ruptures...9 5.
More informationICD 10 Readiness analysis
Case Study ICD 10 Readiness analysis nirmal.raja@qbsshealth.com Introduction Physician documentation for ICD-10-CM will need to be more specific and detailed than is required for ICD-9- CM. The codes will
More informationLinks in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Jurisdiction Texas. Retirement Date N/A
Local Coverage Determination (LCD): Chiropractic Services (L35424) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information Contractor
More informationOrthopedic Surgery in Pennsylvania
Orthopedic Surgery in Pennsylvania Total Joint Replacement and Common Spine Procedures 2010 Pennsylvania Health Care Cost Containment Council Orthopedic Surgery April in 2012 Pennsylvania - 2010 a About
More informationPatient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques
Patient Information MIS LLIF Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Table of Contents Anatomy of Spine...2 General Conditions of the Spine....4 What is Spondylolisthesis....5
More informationIcd-10 code for low back pain with radiculopathy left leg
P ford residence southampton, ny Icd-10 code for low back pain with radiculopathy left leg Diagnosis Codes (ICD-10) Commonly Used in the Chiropractic Office This section was compiled by Frank M. Painter,
More informationCoding Companion for Orthopaedics Upper: Spine & Above. A comprehensive illustrated guide to coding and reimbursement
Coding Companion for Orthopaedics Upper: Spine & Above A comprehensive illustrated guide to coding and reimbursement Contents Getting Started with Coding Companion...i Integumentary...1 Nails...7 Repair...16
More informationPost test for O&P 2 Hrs CE. The Exam
Post test for O&P 2 Hrs CE The Exam This examination is taken in "open book" format. That means you are free to answer the questions after research or discussion with your fellow workers. We feel this
More informationIcd 9 lumbar radiculopathy
Icd 9 lumbar radiculopathy Search Short description: Lumbar disc displacement. ICD - 9 -CM 722.10 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however.
More informationFLORIDA MEDICARE PART B LOCAL MEDICAL REVIEW POLICY
FLORIDA MEDICARE PART B LOCAL MEDICAL REVIEW POLICY CPT/HCPCS Codes 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study 93926 unilateral or limited study Policy
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Abscess, epidural, 822 824 Achilles tendon rupture, 894 895, 981 982 Acromioclavicular separations, shoulder pain in, 751 753 Adhesive capsulitis,
More informationUG CURRICULUM FOR ORTHOPAEDICS UNIVERSITY OF DELHI
UG CURRICULUM FOR ORTHOPAEDICS UNIVERSITY OF DELHI OBJECTIVES OF THE COURSE: At the end of the program, student should acquire the following: 1. Diagnose the common musculo-skeletal disease process from
More informationWhat Coding and CDI Specialists Should Know About Medicare's Comprehensive Care Joint Replacement (CJR) Bundled Payment Model
What Coding and CDI Specialists Should Know About Medicare's Comprehensive Care Joint Replacement (CJR) Bundled Payment Model Presented by: Lynn-Marie Wozniak, MS, RHIT Elsevier RCC Content Manager 518-213-4219
More informationDEGENERATIVE SPONDYLOLISTHESIS
AN INTRODUCTION TO DEGENERATIVE SPONDYLOLISTHESIS This booklet is designed to inform you about lumbar degenerative spondylolisthesis. It is not meant to replace any personal conversations that you might
More informationKey Primary CPT Codes: Refer to pages: 7-9 Last Review Date: October 2016 Medical Coverage Guideline Number:
National Imaging Associates, Inc. Clinical guidelines CERVICAL SPINE SURGERY: ANTERI CERVICAL DECOMPRESSION WITH FUSION CERVICAL POSTERI DECOMPRESSION WITH FUSION CERVICAL ARTIFICIAL DISC CERVICAL POSTERI
More informationNeurostimulators and Neuromuscular
Neurostimulators and Neuromuscular Stimulators Chapter.1 Enrollment..................................................................... -2.2 Benefits, Limitations, and Authorization Requirements...........................
More informationJurisdiction New Mexico. Retirement Date N/A
Local Coverage Determination (LCD): Chiropractic Services (L34816) Contractor Information Contractor Name Novitas Solutions, Inc. opens in new Contract Number 04212 Contract Type A and B MAC J - H LCD
More informationTECHNICAL NOTES. for Spinal Fusion. June 2016
TECHNICAL NOTES for Spinal Fusion June 2016 Pennsylvania Health Care Cost Containment Council Report Period: Calendar Year 2014 January 1, 2014 through December 31, 2014 Discharges 225 Market Street, Suite
More informationOptimizing function Maximizing survivorship Accelerating recovery
Surgical Technique Optimizing Function Maximizing Survivorship Accelerating Recovery The company believes in an approach to patient treatment that places equal importance on: Optimizing function Maximizing
More informationANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 1, 2 and 3 are From the lumber plexus 5- Intermediate cutaneous
More informationSpinal Interventional Pain Management and Lumbar Spine Surgery
Spinal Interventional Pain Management and Lumbar Spine Surgery Policy Number: Original Effective Date: MM.06.024 01/01/2014 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 08/22/2014
More informationMedical Policy Original Effective Date: Revised Date: 07/26/17 Page 1 of 9
Page 1 of 9 Disclaimer Description Coverage Determination/ Clinical Indications Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on
More informationContractor Information
Local Coverage Determination (LCD): Chiropractic Services (L35424) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information CONTRACTOR
More informationTOTAL HIP REPLACEMENT:
THR Prosthesis Design TOTAL HIP REPLACEMENT: PROSTHESIS DESIGN FEATURES JESS JOHNSTON & MELINDA ZIETH History of Hip Prosthesis Joint Replacement Registry Implant Design Technology & Future History and
More informationOP-8: MRI LUMBAR SPINE FOR LOW BACK PAIN
Description of Measure OP-8: MRI LUMBAR SPINE FOR LOW BACK PAIN This measure calculates the percentage of MRI of the Lumbar Spine studies with a diagnosis of low back pain on the imaging claim and for
More informationCLINICAL AND OPERATIVE APPROACH FOR TOTAL KNEE REPLACEMENT DR.VINMAIE ORTHOPAEDICS PG 2 ND YEAR
CLINICAL AND OPERATIVE APPROACH FOR TOTAL KNEE REPLACEMENT DR.VINMAIE ORTHOPAEDICS PG 2 ND YEAR Evolution of TKR In 1860, Verneuil proposed interposition arthroplasty, involving the insertion of soft tissue
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 information1. The episode should be classified according to the primary reason for the current episode of rehabilitation care
IMPAIRMENT CODING GUIDELINES The aim of these guidelines is to assist in correctly classifying a rehabilitation episode according to impairment groups. There are 2 over-riding rules that need to be considered
More informationPatient Information. Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System
Patient Information Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System Your doctor has recommended spinal fusion surgery using
More informationCervical intervertebral disc disease Degenerative diseases F 04
Cervical intervertebral disc disease Degenerative diseases F 04 How is a herniated cervical intervertebral disc treated? Conservative treatment is generally sufficient for mild symptoms not complicated
More informationNotification of changes to AXA PPP Schedule of Procedures & Fees September 2017
Call our Specialist Fees Team 01892 772160 Mon-Fri 9am-1pm specialistfees@axa-ppp.co.uk We may record and monitor calls for quality assurance, training and as a record of our conversation.. Notification
More informationDIRECT ANTERIOR APPROACH
DIRECT ANTERIOR APPROACH JOINT REPLACEMENT PROGRAM 2301 25TH STREET SOUTH FARGO ND 58103 CENTER FOR MINIMAL INVASIVE JOINT SURGERY (p) 701-241-9300 (tf) 866-887-9300 www.jointpain.md FARGO FERGUS FALLS
More informationThe Lower Limb II. Anatomy RHS 241 Lecture 3 Dr. Einas Al-Eisa
The Lower Limb II Anatomy RHS 241 Lecture 3 Dr. Einas Al-Eisa Tibia The larger & medial bone of the leg Functions: Attachment of muscles Transfer of weight from femur to skeleton of the foot Articulations
More informationANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 5- Intermediate cutaneous nerve of the thigh 1, 2 and 3 are
More informationPatient Information MIS TLIF. Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques
Patient Information MIS TLIF Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques MIS TLIF Table of Contents Anatomy of Spine..............................................
More information22110 vertebral segment; cervical vertebral segment; thoracic vertebral segment; lumbar
The following codes are authorized by Palladian Health for applicable product lines. Visit palladianhealth.com to request authorization and to access guidelines. Palladian Musculoskeletal Program Codes
More informationMedStar Health considers Trigger Point and Transforaminal Epidural Injections medically necessary for the following indications:
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL MP.098.MH Trigger Point and Transforaminal Epidural Injections This policy applies to the following lines of business: MedStar Employee (Select) MedStar
More informationICD-9 to ICD-10 Conversion Sample for Physical, Occupational and Speech Therapy - SNF Setting
1 ICD-9 to ICD-10 Conversion Sample for Physical, Occupational and Speech Therapy - SNF Setting ICD-9 Code ICD-9 Description New ICD-10 New ICD-10 Description DM with Neuropathy E11.21 Type 2 diabetes
More informationCopyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings. Dr. Nabil Khouri MD, MSc, Ph.D
Dr. Nabil Khouri MD, MSc, Ph.D Pelvic Girdle (Hip) Organization of the Lower Limb It is divided into: The Gluteal region The thigh The knee The leg The ankle The foot The thigh and the leg have compartments
More informationUNITED STATES FIRE INSURANCE COMPANY. Instructions for completing the Attached Disclosure Form
UNITED STATES FIRE INSURANCE COMPANY Instructions for completing the Attached Disclosure Form HIPAA Privacy permits the release of Protected Health Information (PHI) for the purpose of evaluating and accepting
More informationJessica Jameson MD Post Falls, ID
Jessica Jameson MD Post Falls, ID Discuss the history of interventiona l pain Discuss previous tools to manage chronic pain Discuss current novel therapies to manage chronic pain and indications HISTORY
More informationPATIENT: DOB: TODAY S DATE:
1. I have been strongly advised to carefully read and consider this operative permit. I realize that it is important that I understand this material. I also understand that if certain sections are not
More information