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Range of motion measurements are a critical assessment tool used to evaluate the functional capacity of specific joints, muscles, or muscle groups. The procedure is performed as a separate entity, focusing specifically on the hand. During this assessment, passive range of motion techniques are employed, wherein the healthcare provider actively moves the patient's hand through various test movements. This process allows the provider to assess the extent of movement available at the joints of the hand, while also identifying any limitations that may be present. Additionally, the provider observes for signs of weakness or instability during the movement, which can provide valuable insights into the patient's overall musculoskeletal health. It is important to note that this code, CPT® 95852, is specifically designated for range of motion testing of the hand, and it can be utilized with or without a comparison to the normal side of the hand. For range of motion testing of other extremities or sections of the spine, a different code, CPT® 95851, should be used.
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The range of motion measurements using CPT® code 95852 are indicated for the evaluation of the hand's functional capacity. This procedure is typically performed in the following scenarios:
The procedure for range of motion measurements of the hand involves several key steps, which are detailed as follows:
After the range of motion measurements are completed, the provider may discuss the findings with the patient, outlining any limitations observed and potential implications for treatment or rehabilitation. Depending on the results, the provider may recommend further diagnostic imaging or refer the patient to a specialist for additional evaluation. The patient may also receive guidance on exercises or therapies to improve hand function and mobility, as well as instructions for follow-up appointments to monitor progress.
| Short Descr | RANGE OF MOTION MEASUREMENTS | Medium Descr | ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID | Long Descr | Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | M5D - Specialist - other | MUE | 1 | CCS Clinical Classification | 212 - Diagnostic physical therapy |
| GO | Services delivered under an outpatient occupational therapy plan of care | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GP | Services delivered under an outpatient physical therapy plan of care | CO | Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant | CQ | Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant | GW | Service not related to the hospice patient's terminal condition | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | KX | Requirements specified in the medical policy have been met | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| Pre-1990 | Added | Code added. |
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