CPT Codes apply to physician, and other health professional
services reimbursement. HCPCS Codes apply to Product Purchase
Reimbursement or Coverage.
International Classification of Disease Coding: 354.0 Carpal Tunnel Syndrome
HCPCS Code - Miscellaneous Prosthetics/Orthotics Product Section
HCPCS Code L3954 WHF Orthosis spreading hand, upper limb:
wrist-hand abduction.
Orthosis Devices must be prescribed by a physician to qualify for
insurance reimbursement.
Orthosis - or·tho·sis n. pl. or·tho·ses Definition:
An external orthopedic appliance that prevents or assists the
movement of the spine or limbs, Orthotic, The American Heritage®
Stedman's Medical Dictionary Copyright © 2002.
Neuromuscular Re-education CPT code 97112 ICD Code 354.0 Carpal Tunnel Syndrome.
a. The patient having the loss of deep tendon reflexes and vibration sense accompanied by paresthesia, burning, or diffuse pain of the hand and fingers or feet and lower legs.
b. The patient having nerve palsy, such as radial nerve injury causing wrist drop, carpal tunnel syndrome, etc.
Therapeutic Procedures
CPT Code 97001 Physical Evaluation
CPT Code 97504 Orthotic Training
CPT Code 97140 Manual Therapy
CPT Code 97535 Self Care Home Management Training
CPT Code 97537 Work Reintegration Training
CPT Code 97750 Physical Performance Test or Measurement
CPT Code 97002 Re-evaluation
CPT Codes 97032 - 97039
Application of a modality to one or more areas requiring direct
patient contact
CPT Codes 97010 - 97028
Application of a modality to one or more
areas not requiring direct patient contact
CPT Codes 97799 unlisted physical medicine/rehab service
CPT Codes 97139 unlisted therapeutic procedure
Joint Mobilization CPT code 97140 Serial bandaging
Application of short Arm splint (forearm to hand) - Indication for the forearm, wrist and or hand in the treatment of fractures, dislocations, sprains/strains, tendonitis, post-op reconstruction, contractures or other deformities involving soft tissue.
CPT code 29126 dynamic CPT code 29125 static
Common Tapping and Strapping - Indication when there is treatment of contusions, dislocations, fractures, sprains, strains, post-op conditions, contractures, or other deformities involving soft tissues.
CPT Code 29280 Hand and Finger (can also be applied for HCPCS Code)
CPT Code 29260 Wrist and Elbow (can also be applied for HCPCS Code)
Misc Code: 99070 For supplies and material provided during office visit
HCPCS Code A4450 Tape non-waterproof
CTS Related ICD Codes for descriptive purposes - 354.0 Carpal Tunnel Syndrome
(International Classification of Disease)
Nerve / Sensation / Pain Codes
354.0 Carpal Tunnel Syndrome
719.44 Pain in joint, hand
719.43 Wrist Pain
729.5 Pain in limb
354.5 Mononeuritis multiplex - Combinations of single conditions
classifiable to 354 o 355
354.8 Other Mononeuritis of upper limb Inflammation of a single nerve
354.9 Mononeuritis of upper limb, unspecified Inflammation of a single nerve
719.41 Shoulder Pain
Miscellaneous Soft Tissue Injury Codes
923.20 Contusion of hand
923.21 Contusion of Wrist
923.3 Contusion of finger
927.2 Crushing injury, hand
927.23 Crushing injury, wrist
Wrist Pain - Denervation Codes
906.3 Late effect of contusion (nonspecific)
905.7 Late effect of sprain/strain (nonspecific)
719.43 Pain in joint, forearm
References:
Current Procedural Terminology (CPT) manual published by AMA in 2005.
Healthcare Common Procedure Coding Systems (HCPCS) published by Medical Management Institute.
The American Heritage® Stedman's Medical Dictionary Copyright © 2002.
International Classification of Disease published by The Center for Disease Control and Prevention (CDC) US Department of Health and Human Services - National Center for Health Statistics Hyattsville, MD.
These codes are offered as a framework for understanding the insurance coding procedures for the diagnosis, treatment and prescription of medical products for hand pain, wrist pain, nerve disorders in the hand and wrist, hand numbness, tingling in fingers, tingling thumb, numb fingers, numb thumb, and other generally recognized symptoms of carpal tunnel syndrome.
Orthosis Devices must be prescribed under a licensed Physician's judgment with the appropriate insurance code to qualify for insurance reimbursement.
