Universal Clinical Codes & Terminology Search

Athletic training evaluation low complexity requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An examination of affected body area and other symptomatic or related systems addressing 1-2 elements from any of the following: body structures physical activity and/or participation deficiencies; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functiona

Athletic training evaluation moderate complexity requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical activity; An examination of affected body area and other symptomatic or related systems addressing a total of 3 or more elements from any of the following: body structures physical activity and/or participation deficiencies; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/o

Athletic training evaluation high complexity requiring these components: A medical history and physical activity profile with 3 or more comorbidities that affect physical activity; A comprehensive examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures physical activity and/or participation deficiencies; Clinical presentation with unstable and unpredictable characteristics; and Clinical decision making

Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient's current functional status when there is a documented change; and A revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome with an update in management options goals and interventions. Typically 20 minutes are spent face-to-face with the patient and/or family.

Therapeutic activities direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance) each 15 minutes

Development of cognitive skills to improve attention memory problem solving (includes compensatory training) direct (one-on-one) patient contact each 15 minutes

Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands direct (one-on-one) patient contact by the provider each 15 minutes

Self-care/home management training (eg activities of daily living (ADL) and compensatory training meal preparation safety procedures and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact by provider each 15 minutes

Community/work reintegration training (eg shopping transportation money management avocational activities and/or work environment/modification analysis work task analysis use of assistive technology device/adaptive equipment) direct one-on-one contact by provider each 15 minutes

Wheelchair management (eg assessment fitting training) each 15 minutes

Work hardening/conditioning; initial 2 hours

Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)

Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg activities of daily living [ADLs] instrumental ADLs [iADLs] transfers mobility communication swallowing feeding problem solving safety practices) (without the patient present) face to face; initial 30 minutes

Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg activities of daily living [ADLs] instrumental ADLs [iADLs] transfers mobility communication swallowing feeding problem solving safety practices) (without the patient present) face to face; each additional 15 minutes (List separately in addition to code for primary service)

Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg activities of daily living [ADLs] instrumental ADLs [iADLs] transfers mobility communication swallowing feeding problem solving safety practices) (without the patient present) face to face with multiple sets of caregivers

Debridement (eg high pressure waterjet with/without suction sharp selective debridement with scissors scalpel and forceps) open wound (eg fibrin devitalized epidermis and/or dermis exudate debris biofilm) including topical application(s) wound assessment use of a whirlpool when performed and instruction(s) for ongoing care per session total wound(s) surface area; first 20 sq cm or less

Debridement (eg high pressure waterjet with/without suction sharp selective debridement with scissors scalpel and forceps) open wound (eg fibrin devitalized epidermis and/or dermis exudate debris biofilm) including topical application(s) wound assessment use of a whirlpool when performed and instruction(s) for ongoing care per session total wound(s) surface area; each additional 20 sq cm or part thereof (List separately in addition to code for primary procedure)

Removal of devitalized tissue from wound(s) non-selective debridement without anesthesia (eg wet-to-moist dressings enzymatic abrasion) including topical application(s) wound assessment and instruction(s) for ongoing care per session

Negative pressure wound therapy (eg vacuum assisted drainage collection) including topical application(s) wound assessment and instruction(s) for ongoing care per session; total wound(s) surface area less than or equal to 50 square centimeters

Negative pressure wound therapy (eg vacuum assisted drainage collection) including topical application(s) wound assessment and instruction(s) for ongoing care per session; total wound(s) surface area greater than 50 square centimeters