Guest guest Posted July 14, 2000 Report Share Posted July 14, 2000 >CPT Codes > > > > SITE KEY > > Home > > About CSOM > President’s Msg. > > TCM Articles > Herbs > Avascular Necrosis > Moxa for Pediatrics > > Practice Aids > Diagnosis Codes > Management > Writing Reports > CPT Codes > Managed Care > > Legal/Political > Legislation > Legislation History > IMC Guidelines > FDA on Ephedra > FDA on Herbs > W.H.O. Codex > Herb Sales Tax > > News > Director’s Notes > Illegal Referrals > Medicare Fraud > Avoid Malpractice > Medical Waste > Insurance Issues > Selected Physician > Patient Compliance > Western Drugs in > Patent Medicines > Year of the Tiger > Herbal Fen Phen > NIH - Acupuncture > UK on Back Pain > > Event Calendar > > > > CSOM Proposal for Acupuncture CPT Codes Accepted By the AMA. > > Acupuncture and other CPT Codes > > Below is a brief explaination of CPT codes for acupuncture. > Following this article there are lists of procedure codes and >also codes for office visits with descriptions. > > > CSOM often gets calls from people asking about what CPT >(current procedural terminology) code to use for billing for acupuncture. >CPT codes are the billing codes that are used for medical procedures. They >are compiled by the American Medical Association (AMA) and published in a >book each year. The idea is to have a uniform system to classify medical, >surgical and diagnostic procedures. > > The American Medical Association accepted CSOMs proposal for >two CPT (current procedural terminology) codes. These are the codes >established by the AMA that identify medical procedures for insurance >billing. Thanks to the efforts of CSOM insurance companies and >practitioners will no longer be clueless about how to code the bills for >acupuncture. This landmark decision is the equivalent of the American >Medical Association recognizing acupuncture as a legitimate medical >procedure. The codes which are 97780 for acupuncture, and 97781 for >electric-acupuncture, were the result of a year and a half effort by CSOM >member Ken Cherman, L.Ac. The codes became effective on January 1, 1998. >This in conjunction with the NIH consensus statement are two big steps >toward Medicare coverage of acupuncture. The war over coding isn’t over >but we have won the first big battle. > > For regular insurance billing: > > Acupuncture 97780 > Electric Acupuncture 97781 > > To be used only for California Workers Compensation billing >and allowable charges: > > Acupuncture - 97800 - $54.73 > Acupuncture with electro stimulation 97801 - $73.80 > Cupping- 97802 -$19.06 > Moxibustion - 97803 - $19.06 > > Massage, including effleurage, petrissage and/or tapotement >(stroking compression or percussion) - 97124 > > Myofacial Release/ Soft Tissue Mobilization - 97250 > > Electric Stimulation (does not require direct (one on one) >patient contact by the Doctor - 97014 > > Hot / Cold packs- 97010 > > Diathermy - 97024 > > Manipulation (cervical, thoracic, lumbosacral, sacroiliac, >hand, wrist) peformed by physician; one area -97260 > > Office visit initial - Comprehensive - 99205 > A comprehensive history, a comprehensive examination, medical >decision making of high complexity. Problems are usually of moderate to >high severity. Physician typically spends 60 minutes face to face with the >patient. Examples cited - Lupus patient with fever, seizures and >thrombocytopenia. 42 year old male with diastolic blood pressure of 110, >history of renal calculi, episodic headaches, intermitient chest pain and >orthopnea. > > > Office Visit Initial - Extended - 99204 > A comprehensive history, a comprehensive examination, and >medical decision making of moderate complexity. Presenting problems of >moderate to high severity > Typically 45 minutes face to face with the patient. Example >cited initial exam for 70 year old female with polyarthalgia, or 63 year >old man with chest pain on exertion. > > > Office visit initial - Intermediate - 99203 > A detailed history, a detailed exam, medical decision making >of low complexity. > Presenting problems are of moderate severity, typically 30 >minutes face to face with the patient. Example cited- initial office visit >for a 48 year old man with recurrent low back pain radiating to the leg. >Initial visit with 19 year old football player with 3 day old acute injury >to the knee: now with swelling and pain > > Office visit initial - brief - 99201 > A problem focused history, a problem focused exam, >straightforward medical decision. Problems are usually self limiting or >minor. Typically 10 minutes > Example cited is initial office visit for contusion of a >finger, or 10 year old with a 24 rash and itching with positive history of >contact with poison oak withing 48 hrs. > > > Office visit established patient - Brief - 99211 > May not require the presence of a physician. typically 5 >minutes spent. i.e. established patient checks their blood pressure, or >gets a return to work certificate. > > Office visit established patient - - 99212 > A problem focused history, a problem focused exam. >straightforward medical decision. Problems are usually self limiting or >minor. Typically 10 minutes face to face with the patient. > > Office visit established patient - Intermediate - 99213 > An expanded problem focused history. an expanded problem >focused examination. Medical decision making of low complexity. Problems >are of low to moderate severity. Typically 15 minutes spent with the >patient. > > Office visit established patient - 99214 > A detailed history, a detailed examination, medical decision >making of moderate complexity. Problems of moderate to high severity. >Typically 25 minutes face to face with the patient. > > Office visit established patient - 99215 > A comprehensive history, a comprehensive examination, medical >decision making of high complexity. Problems are usually of moderate to >high severity. Physician typically spends 40 minutes face to face with the >patient. > > > ______________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
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