0K¨qIDICODEC COSTN DOLLARSN FLATRATEN# INFORMALL-ISDOLLARSL.NAMEC/úNAME2C)úPERCOMC#TYPEC7UNITNL UNITTYPECVSCUTCWISNOTBILLL\ISTAXL]TAXN^ IDMODIFIhIDMODIF2IlISCANCELVSLp !N 95831 0.00 0.00 0.00FFMuscle testing, manual (separate procedure) extremity (excluding hand) or trunk, with report + 1.00 FF 0.000F "N 95832 0.00 0.00 0.00FFMuscle Testing Manual + 1.00 FF 0.000F #N 95833 0.00 0.00 0.00FFTotal evaluation of body, excluding hands + 1.00 FF 0.000F $N 95834 0.00 0.00 0.00FFTotal evaluation of body, including hands + 1.00 FF 0.000F %N 95851 0.00 0.00 0.00FFROM measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) + 1.00 FF 0.000F &N 95852 0.00 0.00 0.00FFROM measurements and report (separate procedure); hand, with or without comparison with normal side + 1.00 FF 0.000F 'N 97001 0.00 0.00 0.00FFPhysical therapy evaluation + 1.00 FF 0.000F (N 97002 0.00 0.00 0.00FFPhysical therapy reevaluation + 1.00 FF 0.000F )N 97003 0.00 0.00 0.00FFOccupational therapy evaluation + 1.00 FF 0.000F *N 97004 0.00 0.00 0.00FFOccupational therapy reevaluation + 1.00 FF 0.000F +N 97010 0.00 0.00 0.00FFApplication of a modality to one or more areas; hot or cold packs + 1.00 FF 0.000F ,N 97012 0.00 0.00 0.00FFTraction, mechanical + 1.00 FF 0.000F -N 97014 0.00 0.00 0.00FFElectrical stimulation + 1.00 FF 0.000F .N 97016 0.00 0.00 0.00FFVasopnuematic device + 1.00 FF 0.000F /N 97018 0.00 0.00 0.00FFParaffin bath + 1.00 FF 0.000F 0N 97022 0.00 0.00 0.00FFWhirlpool + 1.00 FF 0.000F 1N 97024 0.00 0.00 0.00FFDiathermy + 1.00 FF 0.000F 2N 97026 0.00 0.00 0.00FFInfrared + 1.00 FF 0.000F 3N 97028 0.00 0.00 0.00FFUltraviolet + 1.00 FF 0.000F 4N 97032 0.00 0.00 0.00FFApplication of a modality to one or more areas; electrical stimulation (manual), each 15 minutes + 1.00 FF 0.000F 5N 97033 0.00 0.00 0.00FFLontophoresis, each 15 minutes + 1.00 FF 0.000F 6N 97034 0.00 0.00 0.00FFContrast baths, each 15 minutes + 1.00 FF 0.000F 7N 97035 0.00 0.00 0.00FFUltrasound, each 15 minutes + 1.00 FF 0.000F 8N 97036 0.00 0.00 0.00FFHubbard tank, each 15 minutes + 1.00 FF 0.000F 9N 97101 0.00 0.00 0.00FFApplication of a modality to one or more areas; hot or cold packs + 1.00 FF 0.000F :N 97110 0.00 0.00 0.00FFTherapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, ROM and flexibility + 1.00 FF 0.000F ;N 97112 0.00 0.00 0.00FFNeuromuscular reeducation of movement, balance, coordination, kinesthetic sense posture, and proprioception + 1.00 FF 0.000F N 97124 0.00 0.00 0.00FFMassage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion). + 1.00 FF 0.000F ?N 97140 0.00 0.00 0.00FFManual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes + 1.00 FF 0.000F @N 97150 0.00 0.00 0.00FFTherapeutic procedure(s), group (2 or more individuals) + 1.00 FF 0.000F AN 97504 0.00 0.00 0.00FFOrthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes + 1.00 FF 0.000F BN 97520 0.00 0.00 0.00FFProsthetic training, upper and/or lower extremity(s), each 15 minutes + 1.00 FF 0.000F CN 97530 0.00 0.00 0.00FFTherapeutic activities, direct (one on one) patient contact by the provider, (use of dynamic activities to improve functional performance), each 15 minutes + 1.00 FF 0.000F DN 97532 0.00 0.00 0.00FFDevelopment of cognitive skills to improve attention, memory, problem solving, (includes compensatory training) direct (one on one) patient contact by the provider, each 15 minutes + 1.00 FF 0.000F EN 97533 0.00 0.00 0.00FFSensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one on one) patient contact by the provider, each 15 minutes + 1.00 FF 0.000F FN 97535 0.00 0.00 0.00FFSelf care/home management training (e.g., activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of adaptive equipment), direct one on one contact by provider each 15 minutes. + 1.00 FF 0.000F GN 97542 0.00 0.00 0.00FFWheelchair management /propulsion training, each 15 minutes + 1.00 FF 0.000F HN 97597 0.00 0.00 0.00FFRemoval of devitalized tissue from wounds + 1.00 FF 0.000F IN 97598 0.00 0.00 0.00FFRemoval of devitalized tissue from wounds + 1.00 FF 0.000F JN 97703 0.00 0.00 0.00FFCheckout for orthotic/prosthetic, use, established patient, each 15 minutes + 1.00 FF 0.000F KN 97750 0.00 0.00 0.00FFPhysical performance test or measurement (e.g., musculoskeletal, functional capacity) with written report, each 15 minutes + 1.00 FF 0.000F* !i 0.00 0.00 0.00FF 0.00 FF 0.000F* !i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F*!i 0.00 0.00 0.00FF 0.00 FF 0.000F* !i 0.00 0.00 0.00FF 0.00 FF 0.000F*!!i 0.00 0.00 0.00FF 0.00 FF 0.000F*"!i 0.00 0.00 0.00FF 0.00 FF 0.000F*#!i 0.00 0.00 0.00FF 0.00 FF 0.000F*$!i 0.00 0.00 0.00FF 0.00 FF 0.000F*%!i 0.00 0.00 0.00FF 0.00 FF 0.000F*&!i 0.00 0.00 0.00FF 0.00 FF 0.000F*'!i 0.00 0.00 0.00FF 0.00 FF 0.000F*(!i 0.00 0.00 0.00FF 0.00 FF 0.000F*)!i 0.00 0.00 0.00FF 0.00 FF 0.000F**!i 0.00 0.00 0.00FF 0.00 FF 0.000F*+!i 0.00 0.00 0.00FF 0.00 FF 0.000F