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For 2019, the E&M section of CPT code book will have two new codes for Interprofessional Telephone/Internet/Electronic Health Record...
Therapeutic ultrasound is a deep heating modality that produces a
sound wave of 0.8 to 3.0 Mhz. In the human body, ultrasound has several
pronounced effects on biologic tissues. It is attenuated by certain
tissues and reflected by bone. Thus, tissues lying immediately next to
bone can receive an even greater dosage of ultrasound, as much as 30%
more. Because of the increased extensibility ultrasound produces in
tissues of high collagen content, combined with the close proximity of
joint capsules, tendons, and ligaments to cortical bone where they
receive a more intense irradiation, it is an ideal modality for
increasing mobility in those tissues with restricted range of motion.
The application of ultrasound is considered medically necessary for
patients requiring deep heat to a specific area for reduction of pain,
spasm, and joint stiffness, and for the increase of muscle, tendon and
ligament flexibility.
Specific indications for the use of ultrasound application include:
- the patient has tightened structures limiting joint motion that require an increase in extensibility; or
- the patient has symptomatic soft tissue calcification.
Ultrasound application is not considered to be medically necessary for
the treatment of asthma, bronchitis, or any other pulmonary condition.
Please see ICD-9 Codes That Do Not Support Medical Necessity section of
the policy.
Standard treatment is 3-4 treatments per week for one month. Additional treatments must meet medical necessity requirements.
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