How To Use CPT Code 97018

CPT 97018 describes the application of a modality to one or more areas using a paraffin bath. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 97018?

CPT 97018 can be used to describe the application of a modality called a paraffin bath. This modality involves the use of paraffin wax to treat specific areas of the body. The wax is applied to the joints or the limb is dipped into a paraffin wax solution. Paraffin wax has the unique property of absorbing and retaining heat, making it effective in treating joint pains and spasms caused by arthritis or inflammation. The provider may treat one or more areas in the same session.

2. Official Description

The official description of CPT code 97018 is: ‘Application of a modality to one or more areas; paraffin bath.’

3. Procedure

1. The provider assesses the patient’s condition and determines the need for a paraffin bath modality.
2. The provider prepares the paraffin wax by melting it to a suitable temperature.
3. The provider either applies the paraffin wax on the joints using a brush or dips the limb into the paraffin wax solution.
4. The paraffin wax is allowed to cool and harden on the applied areas.
5. The patient may be instructed to move the treated joints or limb to enhance the therapeutic effects of the modality.
6. Additional areas may be treated in the same session if necessary.

4. Qualifying circumstances

CPT 97018 is used for patients who require treatment with a paraffin bath modality. This modality is commonly used for joint pains and spasms caused by arthritis or inflammation. The provider must assess the patient’s condition and determine the appropriateness of using the paraffin bath. The treatment can be applied to one or more areas in the same session.

5. When to use CPT code 97018

CPT code 97018 should be used when a provider applies the paraffin bath modality to one or more areas of the patient’s body. It is appropriate for treating joint pains and spasms caused by arthritis or inflammation. This code should be used for each session in which the paraffin bath modality is applied.

6. Documentation requirements

To support a claim for CPT 97018, the provider must document the following information:

• Patient’s diagnosis and the need for the paraffin bath modality
• Date and duration of the session
• Areas treated with the paraffin bath modality
• Instructions given to the patient, if any, for movement or additional care
• Signature of the provider performing the service

7. Billing guidelines

When billing for CPT 97018, ensure that the provider applies the paraffin bath modality to one or more areas. Use the appropriate CPT code based on the number of areas treated. There are no specific guidelines regarding reporting CPT 97018 with other codes. However, it is important to follow any payer-specific guidelines or requirements.

8. Historical information

CPT 97018 was added to the Current Procedural Terminology system on January 1, 1990. The code was later changed on January 1, 2009 to its current description.

9. Examples

1. A physical therapist applying a paraffin bath modality to a patient’s hands to alleviate arthritis pain.
2. An occupational therapist using a paraffin bath modality to treat a patient’s knee joint inflammation.
3. A chiropractor applying a paraffin bath modality to a patient’s back to relieve muscle spasms.
4. A sports medicine physician using a paraffin bath modality to treat an athlete’s ankle sprain.
5. A rehabilitation specialist applying a paraffin bath modality to a patient’s shoulder to improve range of motion.
6. A podiatrist using a paraffin bath modality to treat a patient’s foot pain caused by plantar fasciitis.
7. A physical therapist applying a paraffin bath modality to a patient’s elbow to reduce inflammation from tennis elbow.
8. An orthopedic surgeon using a paraffin bath modality to treat a patient’s wrist pain caused by carpal tunnel syndrome.
9. A rheumatologist applying a paraffin bath modality to a patient’s hips to alleviate joint stiffness from osteoarthritis.
10. A massage therapist using a paraffin bath modality to treat a client’s hand and wrist pain caused by repetitive strain injury.