icd-10 code for 959.11

Full Answer

ICD-10 Equivalent of 959.11

As of October 2015, ICD-9 codes are no longer used for medical coding. Instead, use this equivalent ICD-10-CM code, which is an approximate match to ICD-9 code 959.11:

Historical Information for ICD-9 Code 959.11

Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.

What is the ICd-9 GEM?

The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

What is the ICd 10 code for chest wall injury?

959.11 is a legacy non-billable code used to specify a medical diagnosis of other injury of chest wall. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

What is CPT code 95869?

CPT Code 95869 – Needle electromyography; thoracic paraspinal muscles. 1. CPT code 95869 should be used to bill a limited EMG study of specific muscles. Examinations confined to distal muscles only, such as intrinsic foot or hand muscles, will be reimbursed as Code 95869 and not as 95860-95866. 2.

What is the CPT code for paraspinal muscles?

It is expected that providers will use CPT code 95870 for sampling muscles other than the paraspinals associated with the extremities, which have been tested. Medicare would not expect to see this code billed when the paraspinal muscles corresponding to an extremity are tested and when the extremity EMG code 95860, 95861, 95863 or 95864 is also billed. The necessity and reasonableness of the following uses of EMG studies have not been established:#N#exclusive testing of intrinsic foot muscles in the diagnosis of proximal lesions

What is the code for a snct?

The sNCT has a unique code G0255: Effective October 1, 2002, CMS initially concluded that there was insufficient scientific or clinical evidence to consider the sNCT test and the device used in performing this test reasonable and necessary within the meaning of section 1862 (a) (1) (A) of the law.

Document Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Nerve Conduction Studies and Electromyography. Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy.

Coverage Guidance

Electrodiagnostic testing builds on the neurologic portion of the physical examination. Both require a detailed knowledge of the patient and his/her disease.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L35081 Nerve Conduction Studies and Electromyography. Please refer to the LCD for reasonable and necessary requirements.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the "ICD-10 Codes that Support Medical Necessity" section of this article.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.