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Indications for Medical Necessity

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Post-OP Indications for Prescribed PT:

(Must select one of the following):

⃝     Weakness of the knee and requires stabilization
⃝     Deformity of the knee that requires stabilization
⃝     A knee orthosis with condylar pads with OR without patellar control (circle one)
⃝     Has had a recent knee injury to the knee or a surgical procedure on the knee(s)

 

Clinical Note Requirements: Dictation must be exactly as shown above for the indication chosen.

T-Scope

L1832/L1833

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Most common ICD-10 codes:

M23.00X - Cystic meniscus,  lateral 
M23.003 - Cystic meniscus, medial 
M23.51- Chronic instability of knee, right knee
M23.52 - Chronic instability of knee, left knee

M94.261 - Chondromalacia, right knee

M94.262 - Chondromalacia, left knee

S76.121A    Laceration of right quadriceps muscle, fascia and tendon, initial encounter

S83.27 - Complex tear of lateral meniscus

S83.32X - Tear of articular cartilage of knee

S83.4 - Sprain of collateral ligament of knee

S83.5 - Sprain of cruciate ligament of knee

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RX/DWO

Post Op Document Requirements: Signed/Dated RX, Clinicals with Indications. Up to date patient demographics with insurance information.

Additional DX Codes

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