icd 10 code used for prescribing vervical traction device

Full Answer

What is the CPT code for cervical traction device?

Code E0856 describes a cervical traction device that may or may not use an external frame and uses an inflatable bladder (s) to generate traction forces. Code E0860 describes cervical traction devices that provide traction on the cervical anatomy through a system of pulleys and rope and are attached to a door.

Can a cervical traction device be used with ambulation?

E0856 describes a cervical traction device that can be used with ambulation. Therefore, it will be denied as not reasonable and necessary. A Standard Written Order (SWO) must be communicated to the supplier before a claim is submitted.

When is cervical traction not reasonable and necessary?

The appropriate use of a home cervical traction device has been demonstrated to the beneficiary and the beneficiary tolerated the selected device. If criteria 1 and 2 are not met, cervical traction will be denied as not reasonable and necessary.

What is the HCPCS code for traction and other orthopedic devices?

The HCPCS codes range Traction and Other Orthopedic Devices E0830-E0948 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. Subscribe to Codify and get the code details in a flash.

What is the ICd 10 code for vaginal ring?

Encounter for initial prescription of vaginal ring hormonal contraceptive 1 Z30.015 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Encounter for initial prescription of vagnl ring 3 The 2021 edition of ICD-10-CM Z30.015 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of Z30.015 - other international versions of ICD-10 Z30.015 may differ.

What is a Z00-Z99?

Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:

Document Information

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

Coverage Guidance

For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member, and 3) meet all other applicable Medicare statutory and regulatory requirements. The purpose of a Local Coverage Determination (LCD) is to provide information regarding “reasonable and necessary” criteria based on Social Security Act § 1862 (a) (1) (A) provisions. In addition to the “reasonable and necessary” criteria contained in this LCD there are other payment rules, which are discussed in the following documents, that must also be met prior to Medicare reimbursement:.

What is over door cervical traction?

Overdoor cervical traction equipment describes cervical traction devices that provide traction on the cervical anatomy through a system of pulleys and rope and are attached to a door. Traction may be applied in either the upright or supine position.

How long does cervical traction last?

Duration of cervical traction can range from a few minutes to 30 minutes, once- or twice-weekly to several times per day . Anecdotal evidence suggests efficacy and safety, but there is no documentation of efficacy of cervical traction beyond short-term pain reduction.

Does Aetna use cervical traction?

Aetna considers cervical traction applied via attachment to a headboard or non-pneu matic cervical traction applied via attachment to a free-standing frame or stand experimental and investigational because it has no proven clinical advantage compared to cervical traction applied via an over-the-door mechanism.