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             

 

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