In such cases report intermediate 12031 12057 and complex 13100 13153 repairs or reconstructive closure 15002 15261 15570 15770 in addition to lesion excision 11440 11446. The quality data codes listed do not.
Billing Coding Amp Reimbursement 2014 Updat Kim Cavitt
Cpt code for body measurement. More than a third of us. Know the other codes that link with bmi. Body mass index bmi percentile counseling for nutrition counseling for physical activity. Advice for you be the coder and reader questions provided by maggie m. Signifies that this cpt category i code is a non covered service under the medicare part b physician fee schedule. New for 2009 are three subsequent intensive care cpt codes based on a low birth weight neonate or infant and current body weight.
Repair by intermediate or complex closure should be reported separately. The code is used to report whole body composition assessments utilizing bioelectrical impedance analysis bia the technique used by the seca medical body composition analyzer 514. The american medical association ama recently amended the current procedural terminology cpt category iii code 0358t. Cptcpt ii 90708 cvx codes 03 94 measles number of doses 1 cptcpt ii 90705 cvx codes 05 snomed 47435007 170364006 5724810000119103 mumps number of doses 1 cptcpt ii 90704. The cpt category ii codes with. In fact a note accompanying e66 in icd 10 tells you to use additional code to identify body mass index bmi if known but as with the bmi codes assigning these codes can pose other problems.
Naturally the bmi codes also link with the overweight and obesity codes found in e66. You can also compare the procedure to an existing cpt code for instance 67938 removal of embedded foreign body eyelid with an established reimbursement value. According to cpt guidelines all lesion excision codes include local anesthesia and simple wound closure. List of cpt category ii codes to include the following chart shows which measures are tracked and which codes to use for each measure. Previously cpt code 0358t was available to healthcare providers only if a body composition. When reporting the measure via claims submit the listed cpt procedure code and the appropriate cpt category ii codes.
Cpt code 99478 subsequent intensive care per day for the evaluation nd management of the recovering very low birth weight infant present body weight less than 1500 grams is for the subsequent intensive care. Adults have a body mass index bmi 30 kgm2. The modifiers allowed for this measure are. And raequell duran president of practice solutions santa. Inbody a leading manufacturer of body composition analyzers is pleased to announce a significant revision to cpt code 0358t the code by which insurance companies recognize bioelectric impedance. Mac cmm cpc cmscs consulting manager for pershing yoakley associates clearwater fla.
1p medical reasons 8p reasons not otherwise specified. Cpt category ii codes are used to report the numerator of the measure. Specification are used to submit the quality actions as allowed by the measure.