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Automated Voice Response Eligibility Verification Subsystem Call Flow Manual


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Outpatient Rehab Procedure Code:


Procedure Code

Message file

Procedure Description

'97001'

901

;PT Evaluation

‘97002’

902

;PT Re-evaluation

‘97003’

903

;OT Evaluation

‘97004’

904

;OT Re-evaluation

‘97005’

905

;Athletic Train Eval

‘97006’

906

;Athletic Train Reeval

‘97010’

907

;Hot or cold packs therapy

‘97012’

908

;Mechanical traction therapy

‘97014

909

;Electric Stimulation therapy

‘97016’

910

;Vasopneumatic device therapy

‘97018’

911

;Paraffin bath therapy

‘97020’

912

;Microwave therapy

‘97022’

913

;Whirlpool therapy

‘97024’

914

;Diathermy EG, Microwave

‘97026’

915

;Infrared therapy

‘97028’

916

;Ultraviolet therapy

‘97032’

917

;Electrical therapy

‘97033’

918

;Electric current therapy

‘97034’

930

;Contrast bath therapy

‘97035’

919

;Ultrasound therapy

‘97036’

920

;Hydrotherapy

‘97039’

921

;Physical therapy treatment

‘97043’

922

;Hepatitis B, 2 dose vaccine

‘97110’

923

;Therapeutic exercises

‘97112’

924

;Neuromuscular reeducation

‘97113’

925

;Aquatic Therapy/Exercises

‘97114’

926

;Functional activity therapy

‘97116’

927

;Gait training therapy

‘97118’

979

;Manual electric stimulation

‘97120’

918

;Electric current therapy

‘97122’

928

;Manual traction therapy

‘97124’

929

;Massage therapy

‘97126’

930

;Contrast baths therapy

‘97128’

919

;Ultrasound therapy

‘97139’

931

;Physical Medicine Procedure

‘97140’

932

;Manual Therapy

‘97145’

933

;Extended Physiotherapy

‘97150’

934

;Group therapeutic procedures

‘97220’

920

;Hydrotherapy

‘97221’

935

;Extended hydrotherapy

‘97240’

920

;Hydrotherapy

‘97241’

935

;Extended hydrotherapy

‘97250’

936

;Myofascial release

‘97260’

937

;Regional manipulation

‘97261’

938

;Supplemental manipulations

‘97265’

939

;Joint mobilization

‘97500’

940

;Orthotics training

‘97501’

942

;Supplemental training

‘97504’

940

;Orthotics training

‘97520’

941

;Prosthetic training

‘97521’

942

;Supplemental training

‘97530’

943

;Therapeutic activities

‘97531’

944

;Added Kinetic therapy

‘97532’

945

;Cognitive skills development

‘97533’

946

;Sensory integration

‘97535’

947

;Self-care management training

‘97537’

948

;Community/Work reintegration

‘97540’

949

;Training for daily living

‘97541’

950

;Supplemental training

‘97542’

951

;Wheelchair management training

‘97545’

952

;Work hardening

‘97546’

953

;Work hardening add-on

‘97597’

954

;Active wound care, 20 cm or less

‘97598’

955

;Active wound care, greater than 20 cm

‘97601’

956

;Wound care, selective

‘97602’

957

;Wound care, non-selective

‘97605’

958

,Neg press wound tx, < 50 cm

‘97606’

959

;Neg press wound tx, > 50 cm

‘97700’

960

;Training checkout

‘97701’

961

;Supplemental checkout

‘97703’

962

;Prosthetic checkout

‘97720’

963

;Extremity testing

‘97721’

964

;Supplemental limb testing

‘97750’

965

;Physical performance test

‘97752’

966

;Muscle testing with exercise

‘97755’

967

;Assistive technology assess

‘97760’

968

;Orthotic management and training

‘97761’

941

;Prosthetic training

‘97762’

969

;Checkout for orthotic/prosthetic use

‘97770’

970

;Cognitive skills development

‘97799’

971

;Physical medicine procedure

‘97802’

972

;Medical nutrition, individual, initial

‘97803’

973

;Medical nutrition, individual, subsequent

‘97804’

974

;Medical nutrition, group

‘97810’

975

;Acupuncture without stimulation, 15 minutes

‘97811’

976

;Acupuncture without stimulation, additional 15 minutes

‘97813’

977

;Acupuncture with stimulation, 15 minutes

‘97814’

978

;Acupuncture with stimulation, additional 15 minutes


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