The information provided below is intended to assist providers in determining appropriate codes and the other information for reimbursement purposes. It represents the information available to United Medical Instruments as of January 2017. Subsequent guidance might alter the information provided. United Medical Instruments disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.
Also be very diligent when billing Workers Comp Carriers with these new CPT codes. Review the State specific fee schedule to make sure that these new CPT codes are included in the State Workers Comp fee schedule. Chances are that state may not have revised their fee schedule and if you bill your claims with new CPT codes your claims are going to get denied. For example: State of CA does not recognize CPT 95938 and CPT 95939. If in doubt, call the payer for their clinical guidelines or check on their website to have the latest information.