BIOMET EBI Bone Healing System, Руководство для врачей и инструкция по применению

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Reimbursement Form
CPT Code 20974
Electrical Stimulation to Aid Bone
Healing: Non-Invasive (Non-Operative)
From a CPT perspective, an additional
evaluation and management service (E/M
- office visit code) is generally not payable;
unless
• the physician is providing a significant,
separately identifiable E/M service
beyond the noninvasive electrical bone
stimulation; or,
• beyond the usual postoperative care
associated with the procedure(s)
performed; and,
• the physician is providing and meeting
the three, key components (e.g., history,
examination and medical decision
making).
Once these additional requirements are met,
then the appropriate level of E/M service with
the modifier-25 amended, may be reported in
addition to CPT code 20974.
CPT 20974 is exempt from the use of
modifier-51 (multiple procedures) for services
performed on the same day or at the same
session by the same provider.
Reimbursement Coding Note
CPT 20974 - Electrical Stimulation to
Aid Bone Healing (Non-Invasive)
(CPT Code 20974 is considered to be a minor
procedure with a global day “000” designation)
A Biomet Stimulator has been applied
as follows:
Patient________________________________
Fracture/Fusion Site______________________
Physician______________________________
Date__________________________________
Physician Management of Biomet Stimulators
are generally recognized under CPT code 20974.
This code encompasses services associated
with the initial patient evaluation for stimulation,
application and follow-up assessment related to
the treatment system. (Global period for primary
procedure remains the same.)
Please note that from a CPT perspective, office
visits (E&M - Evaluation and Management
Codes) are generally not payable when provided
on the same day of service as 20974.