Does CPT code 12013 need a modifier?

Does CPT code 12013 need a modifier?

2.6 cm to 5.0 cm). In this case, because NCCI bundles 12013 into 12002, you should append modifier -59 to the component code (12013-59) to indicate a separate injury. Thus, both lacerations are separately reportable.

What is the CPT code for facial laceration repair?

12011-12018 for simple repair to face, ears, eyelids, nose, lips, and/or mucous membranes. 12031-12037 for intermediate repairs to scalp, axillae, trunk and/or extremities (excluding hands and feet) 12041-12047 for intermediate repair to neck, hands, feet and/or external genitalia.

What are CPT codes for occupational therapy?

The re-evaluation should include an updated plan of care.

  • CPT CODE 97165 Occupational therapy evaluation, low complexity.
  • CPT CODE 97166 Occupational therapy evaluation, moderate complexity.
  • CPT CODE 97167 Occupational therapy evaluation, high complexity.

What is code 99499 used for?

99499 CPT code reports for service when the physician or other qualified healthcare professional performs unlisted office and other outpatients, hospital, consultation, evaluation, and management (E/M) services to new or established patients.

Is forehead considered face or scalp?

In human anatomy, the forehead is an area of the head bounded by three features, two of the skull and one of the scalp. The top of the forehead is marked by the hairline, the edge of the area where hair on the scalp grows….

TA98 A01.1.00.002 A02.1.00.013
TA2 101
FMA 63864
Anatomical terminology

Is 99499 covered by Medicare?

Unlisted evaluation and management service (code 99499) shall only be reported for consultation services when an E/M service that could be described by codes 99251 or 99252 is furnished, and there is no other specific E/M code payable by Medicare that describes that service.

How do you bill multiple laceration repairs?

In the instance where two complex wounds were repaired (each over 7.5 cm) but in different anatomic sites (not included in the same code descriptor) code 13300 should be reported twice (13300 and 13300-59). For example, a 10.0 cm laceration on the trunk and another 12.0 cm laceration on the forehead.

Are your eyebrows on your forehead?

The two sides of the forehead are marked by the temporal ridge, a bone feature that links the supraorbital ridge to the coronal suture line and beyond. However, the eyebrows do not form part of the forehead. In Terminologia Anatomica, sinciput is given as the Latin equivalent to “forehead”.

Can an occupational therapist Bill 92526?

Speech language pathologists may perform services coded as CPT codes 92507, 92508, or 92526. They do not perform services coded as CPT codes 97110, 97112, 97150, or 97530, which are generally performed by physical or occupational therapists.

How do you bill an OT evaluation?

The new evaluation codes (97165, 97166, and 97167) will replace CPT® code 97003 and offer three levels of an occupational therapy evaluation: low, moderate, and high. There is one re-evaluation code (97168). The code descriptors as published in the CPT® manual are available on AOTA’s website at

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