20 Miss. Code. R. 2-XII

Current through October 31, 2024

Section 20-2-XII - EXPERIMENTAL OR INVESTIGATIONAL PROCEDURES

See the General Rules section for information about procedures that are considered investigational or experimental for purposes of this Fee Schedule and are not approved for reimbursement.

Code	Description	Amount	PC Amount	TC Amount	FUD	Assist Surg
92507	TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND	131.57	XXX	N
92508	TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2/>INDIV	39.53	XXX	N
92521	EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)	189.39	XXX	N
92522	EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE	153.40	XXX	N
92523	EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	326.86	XXX	N
95831	MUSC TSTG MNL W/REPRT XTR EX HAND/TRNK	54.28	XXX	N
95832	MUSC TSTG MNL W/REPRT HAND W/WO CMPRSN NRML SIDE	53.69	XXX	N
95833	MUSC TSTG MNL W/REPRT TOTAL EVAL BODY EX HANDS	70.80	XXX	N
95834	MUSC TSTG MNL W/REPRT TOTAL EVAL BODY W/HANDS	92.63	XXX	N
95836	ECOG IMPLANTED BRAIN NPGT W/REC I&R <30 DAYS	185.26	XXX	N
95851	ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPI	34.81	XXX	N
95852	ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID	31.27	XXX	N
97010	APPLICATION MODALITY 1/> AREAS HOT/COLD PACKS	9.72	XXX	N
97012	APPL MODALITY 1/> AREAS TRACTION MECHANICAL	22.68	XXX	N
97014	APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED	22.68	XXX	N
97016	APPL MODALITY 1/> AREAS VASOPNEUMATIC DEVICES	19.44	XXX	N
97018	APPL MODALITY 1/> AREAS PARAFFIN BATH	10.80	XXX	N
97022	APPLICATION MODALITY 1/> AREAS WHIRLPOOL	27.54	XXX	N
97024	APPLICATION MODALITY 1/> AREAS DIATHERMY	10.80	XXX	N
97026	APPLICATION MODALITY 1/> AREAS INFRARED	9.72	XXX	N
97028	APPL MODALITY 1/> AREAS ULTRAVIOLET	12.42	XXX	N
97032	APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN	22.68	XXX	N
97033	APPL MODALITY 1/> AREAS IONTOPHORESIS EA 15 MIN	31.86	XXX	N
97034	APPL MODALITY 1/> AREAS CONTRAST BATHS EA 15 MIN	23.22	XXX	N
97035	APPL MODALITY 1/> AREAS ULTRASOUND EA 15 MIN	21.06	XXX	N
97036	APPL MODALITY 1/> AREAS HUBBARD TANK EA 15 MIN	53.46	XXX	N
97039	UNLIST MODALITY SPEC TYPE&TIME CONSTANT ATTEND	BR	XXX	N
97110	THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	46.98	XXX	N
97112	THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA	53.46	XXX	N
97113	THER PX 1/> AREAS EACH 15 MIN AQUA THER W/XERSS	59.40	XXX	N
97116	THER PX 1/> AREAS EA 15 MIN GAIT TRAINJ W/STAIR	46.44	XXX	N
97124	THER PX 1/> AREAS EACH 15 MINUTES MASSAGE	43.74	XXX	N
97127	THERAPEUTIC IVNTJ W/FOCUS ON COGNITIVE FUNCTION	42.66	XXX	N
97139	UNLISTED THERAPEUTIC PROCEDURE SPECIFY	27.18	XXX	N
97140	MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES	42.66	XXX	N
97150	THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS	28.08	XXX	N
97151	BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN	BR	XXX	N
97152	BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN	BR	XXX	N
97153	ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN	BR	XXX	N
97154	GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN	BR	XXX	N
97155	ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN	BR	XXX	N
97156	FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN	BR	XXX	N
97157	MULTIPLE FAM GROUP BHV TX GDN PHYS/QHP EA 15 MIN	BR	XXX	N
97158	GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN	BR	XXX	N
97161	PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	129.60	XXX	N
97162	PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	129.60	XXX	N
97163	PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	129.60	XXX	N
97164	PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS	88.02	XXX	N
97165	OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	139.32	XXX	N
97166	OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS	139.32	XXX	N
97167	OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS	139.32	XXX	N
97168	OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS	95.58	XXX	N
97169	ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS	85.32	XXX	N
97170	ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS	99.36	XXX	N
97171	ATHLETIC TRAINING EVAL HIGH COMPLEX 45 MINS	113.94	XXX	N
97172	ATHLETIC TRAINING RE-EVAL EST PLAN CARE 20 MINS	71.28	XXX	N
97530	THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	61.02	XXX	N
97533	SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES	65.34	XXX	N
97535	SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES	52.38	XXX	N
97537	COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN	50.22	XXX	N
97542	WHEELCHAIR MGMT EA 15 MIN	50.76	XXX	N
97545	WORK HARDENING/CONDITIONING 1ST 2 HR	130.68	XXX	N
+	97546	WORK HARDENING/CONDITIONING EACH HOUR	64.80	ZZZ	N
97597	DEBRIDEMENT OPEN WOUND 20 SQ CM/<	136.08	000	N
+	97598	DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM	42.66	ZZZ	N
97602	RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS	49.14	XXX	N
97750	PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN	53.46	XXX	N
97755	ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN	58.32	XXX	N
97760	ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS	72.90	XXX	N
97761	PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS	62.64	XXX	N
97763	ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN	77.22	XXX	N
97799	UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PROC	BR	XXX	N
97810	ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN	55.62	XXX	N
+	97811	ACUPUNCTURE 1/> NDLS W/O ELEC STIMJ EA 15 MIN	42.12	ZZZ	N
97813	ACUPUNCTURE 1/> NDLS W/ELEC STIMJ 1ST 15 MIN	61.02	XXX	N
+	97814	ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ	49.14	ZZZ	N
98925	OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS	52.51	000	N
98926	OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS	75.52	000	N
98927	OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS	99.12	000	N
98928	OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS	120.36	000	N
98929	OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS	143.96	000	N
98940	CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS	47.20	000	N
98941	CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS	68.44	000	N
98942	CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS	88.50	000	N
98943	CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION	45.43	XXX	N
99070	SUPPLIES&MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP	BR	XXX	N

Amended 6/14/2017

Amended 6/15/2019.