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Comprehensive computer-based motion analysis, as described by CPT® Code 96001, involves a detailed assessment of a patient's movement patterns through advanced technology. This procedure is particularly beneficial for individuals with complex movement disorders, such as those resulting from cerebral palsy, spina bifida, traumatic brain injury, amputation, stroke, or other conditions that impair mobility. The analysis is conducted in a specialized motion analysis laboratory equipped with sophisticated tools, including video recording from multiple angles, three-dimensional (3D) kinematic assessments, and dynamic electromyography. The primary goal of this comprehensive analysis is to evaluate the patient's movement in order to inform decisions regarding therapeutic interventions, which may include the selection of appropriate braces or prosthetics, as well as potential surgical options. The procedure not only captures joint movements and power during walking but also incorporates dynamic plantar pressure measurements, which provide critical insights into weight-bearing pressures on the feet. This multifaceted approach ensures a thorough understanding of the patient's movement capabilities and challenges, ultimately guiding the development of tailored treatment plans.
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The comprehensive computer-based motion analysis performed under CPT® Code 96001 is indicated for patients exhibiting complex movement problems. These conditions may include:
The procedure for comprehensive computer-based motion analysis involves several key steps to ensure accurate assessment and data collection. Each step is crucial for obtaining a complete understanding of the patient's movement dynamics.
After the comprehensive computer-based motion analysis is completed, the physician or qualified healthcare professional reviews and analyzes the collected data. This analysis culminates in a written report detailing the findings, which is essential for guiding subsequent therapeutic decisions. The results of the motion analysis may inform the need for specific interventions, such as the selection of appropriate braces or prosthetics, or recommendations for surgical options. It is important to note that the analysis and reporting process is comprehensive, ensuring that all relevant data is considered in the development of a tailored treatment plan for the patient.
| Short Descr | MOTION TEST W/FT PRESS MEAS | Medium Descr | COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG | Long Descr | Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 7 - Physical Therapy Service, for which Payment may not be Made | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 2 - 150% payment adjustment 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 | Procedure or Service, Not Discounted when Multiple | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 7 - Other diagnostic nervous system procedures |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 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. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GA | Waiver of liability statement issued as required by payer policy, individual case | GP | Services delivered under an outpatient physical therapy plan of care | GX | Notice of liability issued, voluntary under payer policy | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | LT | Left side (used to identify procedures performed on the left side of the body) | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2009-01-01 | Changed | Code description changed. |
| 2002-01-01 | Added | First appearance in code book in 2002. |
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