Reimbursement - biodex BALANCE SYSTEM SD Operation & Service Manual

12. REIMBURSEMENT

Biodex Rehabilitation Equipment is commonly used in rehabilitation services based on a
physician referral for these ICD-9 codes. As a result, these CPT codes may be applied.
Reimbursement amounts vary among plans and states.
Physician referral and ICD-9 codes:
V15.88 Personal History of Fall
728.87 Muscle weakness
729.89 Leg weakness
715.0 Degenerative joint disease
715.2 Secondary localized osteoarthritis
781.2 Abnormal gait
719.7 Difficulty in walking
719.4 Joint pain
719.5 Joint stiffness
718.8 Instability of joint
780.40 Dizziness
781.20 Imbalance
850.00 Concussion without LOC
850.10 Concussion with brief LOC
850.11 Concussion with LOC<30 minutes
850.12 Concussion LOC 31 to 59 minutes
850.50 Concussion with unspecified duration of LOC
850.90 Concussion unspecified (NOS)
310.20 Post-concussion Syndrome (PCS)
The following CPT codes can be applied.
Reimbursement amounts vary among plans and states.
97110 Therapeutic procedure, one or more areas, each 15 minutes;
therapeutic exercise to develop strength, endurance, range of motion and flexibility.
97112 Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense,
posture, and/or proprioception for sitting and/or standing activities.
97116 Gait Training (includes stair climbing)
97530 Therapeutic activities, direct (one-on-one) patient contact by the provider
(use of dynamic activities to improve functional performance), each 15 minutes
97535 Self-care/home management t raining (eg, activities of daily living (ADL) and
compensatory training, meal preparation, safety procedures, and instructions in use of
assistive technology devices/adaptive equipment) direct one-on-one contact by
provider, each 15 minutes
97750 Physical performance test or measurement (eg, musculoskeletal, functional capacity)
with written report, each 15 minutes
96992 Canalith Repositioning—specific maneuvers for BPPV
NOte: Most insurance plans, including Medicare, cover assessment and conditioning for Fall Programs.
— 12-1 — SYSTEM REIMBURSEMENT