CPT  CODING   

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THE HEALTHPLACE
A Private Medical Practice of David P. Kalin, M.D., M.P.H.
P.O. Box 6009
Palm Harbor, Fl 34684
Tel  813.966.1431
  Fax 813.925.1932

drkalin@drkalin.com

THE HEALTHPLACE, Inc.

EIN #59-232-8697

REQUISITE PATIENT INFORMATION:

1.                   Copy of picture identification.

2.                   Copy of pertinent medical insurance card.

3.                  Assignment of benefits form to The Healthplace/David P. Kalin, M.D., M.P.H.

4.                  Authorization for attorney’s letter of protection with attorney’s name, address, telephone and             fax numbers. 

OUTPATIENT/OFFICE

BILLING CODES - DESCRIPTION:                                                           CPT                

New patient comprehensive:                                                                   99205             

Consultation – comprehensive:                                                             99245             

  (Request for consultation from the appropriate source

  and the need documented in the patient’s medical record)

Established patient:  (Follow-up either new and/or                                 99214             

 consultation;detailed)   

Interim:  (either new and/or consultation; detailed)                                   99215             

Work related/medical disability examination:                                   **99455             

  (final evaluation and/or medical evaluation with or

   without permanent functional impairment rating)

**99455  Moderate and/or Complex may be charged a higher fee.

Introduction/injection anesthetic (nerve block)

  Intercostal nerve, single                                                                              64420*                       

  Intercostal nerves, multiple, regional block                                               64421*                                               

  Paravertebral nerve (entire spine) single vertebral level                         64400*                       

  Paravertebral nerves, multiple levels                                                         64441*                       

  Paravertebral facet joint nerve, lumbar single level                                  64442*                       

  Paravertebral facet joint nerve, lumbar each additional level                 64443*                       

  Shoulder                                                                                                       20610             

  Injectable medications:

            1.         DepoMedrol 20 mg.                                                             J1020              

            2.         DepoMedrol 40 mg.                                                             J1030              

            3.         DepoMedrol 80 mg.                                                             J1040              

            4.         Toradol  60 mg.  (15 mg. X4)                                               J1885              

Minor Surgical Procedures:

  Refer to CPT manual

Prolonged physician service without direct patient contact 99358             

HOME

New patient comprehensive                                                                       99345             

Established (detailed interval)                                                                    99349             

Established (comprehensive interval)                                                       99350             

 

 CPT Codes

PROCEDURE

CPT CODE


OFFICE VISITS-
   NEW PATIENT EXAM
 
Typical 99201
Expanded 99202
Detailed 99203
Comprehensive I 99204
Comprehensive II 99205

OFFICE VISITS-
ESTABLISHED PATIENT
Typical 99211
Focused 99212
Expanded 99213
Detailed 99214
Comprehensive 99215

CHIROPRACTIC MANIPULATION TREATMENT
CMT to 1-2 Regions 98940
CMT to 3-4 Regions 98941
CMT to 5 Regions 98942

PHYSICAL MEDICINE PROCEDURES
 
CMT to Extraspinal Region 98943
Joint Mobilization 97265
Myofascial Release 97250
Massage (15 min.) 97124
Cryotherapy/ Hot Pack 97010
Electric Stimulation/ Manual 97032
Electric Stimulation/ Unattended 97014
Ultrasound (15 min.) 97035
Traction, Manual 97122
Therapeutic Exercises (15 min.) 97110
Kinetic Activities (15 min.) 97530
Neuromuscular Reeducation (15 min.) 97112

PREVENTIVE MEDICAL SERVICES
New Patient Services (No symptoms) 99381-87
Established Pt Services (No symptoms) 99391-97

RISK FACTOR REDUCTION
Individual Counseling (15 min. blocks) 99401-04
Group Counseling (30 min. blocks) 99411-12

NEUROMUSCULAR PROCEDURES
Muscle testing/ Manual- Extremity/Trunk 95831
Muscle testing/ Manual- Hand 95832
Range of Motion/ Trunk, Extremity 95851
Physical Performance Test/Measurement 97750

AFTER HOURS SERVICE
After Hours Calls 99050
Between 10 PM and 8 AM 99052
Sundays and Holidays 99054
Housecalls (At Patient's Request) 99056

RADIOLOGIC SERVICES
Consultation on X-rays Made Elsewhere 76140
Cervical Spine 2 Views 72020
Cervical w/ Flexion/Extension 72050
Cervical Complete: Includes Obliques 72052
Thoracic AP & Lateral Views 72070
Thoracic w/ Swimmers 72072
Lumbosacral AP, Lateral & L5-S1 spot 72100
Lumbosacral 5 Views 72110
Lumbosacral Complete: Incl. Lat Bending Views 72114
Lumbosacral: 4 Bending Views Only 72120
Sacroiliac Joint- 2 Views 72200
Sacrum & Coccyx- 2 Views 72220
Shoulder- 2 Views 73030
Elbow Complete- 3 Views Minimum 73080
Wrist Complete- 3 Views 73110
Hand Complete- 3 Views 73130
Fingers- 2 Views 73140
Hip Complete- 2 views (AP & Frogleg) 73510
Hips/ Bilateral- 4 Views 73520
Knee AP & Lateral 73560
Knee w/ Oblique 73562
Knee Complete- w/ Tunnel &/or Patella 73564
Knees Bilateral Standing (AP) 73565
Ankle AP & Lateral 73600
Ankle Complete/ Includes Oblique 73610
VF to Complement Routine Exam 76125

SUPPLIES
EMS Pads (All sizes) A4556
Cervical Collar L0120
Lumbar Support L0515
Cervical/Lumbar Pillow E0943
Tennis Elbow Brace 99070
Knee Brace 99070
Wrist Brace 99070
Ankle Brace 99070
Gel Ice Pack E0230
Necksys Home Unit 99070
Backsys Home Unit A9300
Theraciser Home Unit A9300
Backsaver Home Unit A9300
Swedish Gym Ball A9300

SERVICES
School Physical (Urinalysis extra) 99382-84
Work Physical (Urinalysis extra) 99385-86
Deposition 99075
Deposition Transcription Review 99075
Medical Data Review 99080
Medical Testimony/ Hour 99075
Full Court Testimony 99075
Initial Insurance Narrative 99080
Narrative Report- Brief 99080
Narrative Report- Complete 99080
Medical Records- Copy & Transfer 99080
Complete Itemized Bill 99080
Telephone call/ Medical Management 99371-3

The CPT Codes are copyright the American Medical Association and are presented here under the Fair Use Guidelines
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