ICD-9 and CPT Codes

• CPT and ICD-9 are copyright American Medical Association, all right reserved.
• Codes listed are generalized estimates and may not fit any particular patient and may not reflected the most current ICD-9 codes. They serve as a starting point to find the correct code in a coding manual.
• Excellent coding manuals are available from the AAOS resourse center.
• ICD-9 codes are also availabe on the internet at www.icd9data.com.

CPT Modifiers

• -22: increased procedural services. used when work is substantially greater than typically required. IE revision ACL 29888-22.
• -25: significant, separately identifiable E&M service provided on same day as main procedure or service. IE 20610-25 added to follow-up visit E&M code for pateint with trochanteric bursitis resistant to treatment treated with injection.
• -58: staged or related procedure or service by the same physician during the postoperative period.
• -59: distinct procedural service performed on the same day.
• -76: repeat procedure or service by same physician.
• -78: unplanned return to the OR during postoperative period
• -AS: Physician assistant modifier used assuming the payer accepts the -AS modifier. ACL example: surgeon reports 29888, PA reports 29888-AS. Medicare pays for assistants for certain CPT codes, See CodeX if certain codes allow assistant modifiers, also see http:www.facs.org/ahp/index.html (click onf 2007 Physicians as assistants at Surgery Study), and http://www.hhs.cms.gov.
• -80, -81, -82: modifiers used for second assist surgeon.