Eli's Rehab Report
CCI 7.1 Bundles Range-Of-Motion Measurements, Muscle Testing With E/M
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Effective April 1, 2001, muscle-testing codes 95831-95834 and range-of-motion measurement codes CPT 95851 -95852 are components of E/M codes. The new national Correct Coding Initiative (CCI) edits list the E/M codes as comprehensive codes of which the muscle-testing and range-of-motion codes are components. These codes are listed with the identifying code of 0, which means modifier -59 (distinct procedural service) cannot be used to bill them separately.
For many practices, this may not be different from how insurers paid for these claims in the past. Most Medicare carriers policies for these codes stated that testing and examination is an integral part of a musculoskeletal examination and is inclusive in the evaluation and management service codes. However, the CCI policy now makes the edits official.
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