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The CPT® Code 99002 refers to the services associated with the handling, conveyance, and other related activities that occur in connection with the implementation of an order for medical devices. This includes a range of tasks such as designing, fitting, packaging, handling, delivery, or mailing of devices like orthotics, protectives, and prosthetics. In this context, the devices are initially designed within the provider's office but are fabricated by an outside laboratory or shop. Once the fabrication is complete, these items are then delivered to the physician's office or another qualified healthcare provider, where they undergo final fitting and adjustment. This code captures the comprehensive process involved in ensuring that the medical devices are not only created but also properly delivered and prepared for patient use, emphasizing the collaborative effort between the healthcare provider and external laboratories in the provision of these essential medical devices.
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The services associated with CPT® Code 99002 are indicated for situations where a patient requires the provision of a medical device, such as orthotics, prosthetics, or protective devices. These indications may include, but are not limited to, the following:
The procedure associated with CPT® Code 99002 involves several key steps that ensure the effective provision of medical devices. Each step is crucial for the successful delivery and fitting of the device to the patient.
Post-procedure care following the implementation of services described by CPT® Code 99002 may include monitoring the patient's adaptation to the device, providing instructions for use and care, and scheduling follow-up appointments for any necessary adjustments. It is important for the healthcare provider to ensure that the patient is comfortable with the device and to address any concerns that may arise during the initial use. Additionally, ongoing support may be required to ensure the device continues to meet the patient's needs effectively.
| Short Descr | DEVICE HANDLING PHYS/QHP | Medium Descr | HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP | Long Descr | Handling, conveyance, and/or any other service in connection with the implementation of an order involving devices (eg, designing, fitting, packaging, handling, delivery or mailing) when devices such as orthotics, protectives, prosthetics are fabricated by an outside laboratory or shop but which items have been designed, and are to be fitted and adjusted by the attending physician or other qualified health care professional | Status Code | Bundled Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x) | Type of Service (TOS) | 9 - Other Medical Items or Services | Berenson-Eggers TOS (BETOS) | Y1 - Other - Medicare fee schedule | MUE | 0 | CCS Clinical Classification | 237 - Ancillary Services |
| Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GA | Waiver of liability statement issued as required by payer policy, individual case | GP | Services delivered under an outpatient physical therapy plan of care | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | KX | Requirements specified in the medical policy have been met | LT | Left side (used to identify procedures performed on the left side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2013-01-01 | Changed | Description Changed |
| Pre-1990 | Added | Code added. |
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