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Prosthetic training is a critical component in the rehabilitation process for individuals who have experienced limb loss. This training focuses on the use of prosthetic devices, which are artificial limbs designed to replace missing body parts. The training is tailored to the specific needs of the patient, taking into account their unique anatomy, physiology, and the nature of their limb loss. The goal of prosthetic training is to help individuals regain independence and improve their quality of life by teaching them how to effectively use their prosthesis. This includes not only the physical aspects of using the device but also addressing psychological factors such as setting realistic expectations and goals for recovery. The training encompasses various activities, including donning and doffing the prosthesis, caring for the residual limb, and engaging in exercises that promote strength, balance, and mobility. Overall, the process is designed to empower patients to adapt to their new circumstances and enhance their functional capabilities in daily life.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of prosthetic training is indicated for individuals who have undergone amputation of an upper or lower extremity. This training is essential for patients who require assistance in adapting to their new prosthetic limb and aims to facilitate their rehabilitation process. Specific indications for this procedure include:
The procedure for prosthetic training involves several key steps to ensure that the patient can effectively use their prosthetic device. Each step is designed to address different aspects of the training process:
After the initial prosthetic training session, patients are encouraged to continue practicing the skills learned during the training. Follow-up appointments may be scheduled to assess the patient's progress, make any necessary adjustments to the prosthesis, and provide additional training as needed. Ongoing support and encouragement are vital to help patients adapt to their prosthetic limb and achieve their rehabilitation goals. It is also important for patients to maintain regular communication with their healthcare team to address any concerns or challenges they may encounter during their recovery process.
| Short Descr | PROSTHETIC TRAING 1ST ENC | Medium Descr | PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS | Long Descr | Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes | 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) | 5 - Special payment adjustment rules on the RVU practice expense component of multiple therapy service applies... | 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) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5D - Specialist - other | MUE | 6 | CCS Clinical Classification | 215 - Other physical therapy and rehabilitation |
| GP | Services delivered under an outpatient physical therapy plan of care | KX | Requirements specified in the medical policy have been met | 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. | GO | Services delivered under an outpatient occupational therapy plan of care | 97 | Rehabilitative services: when a service or procedure that may be either habilitative or rehabilitative in nature is provided for rehabilitative purposes, the physician or other qualified health care professional may add modifier 97 to the service or procedure code to indicate that the service or procedure provided was a rehabilitative service. rehabilitative services help an individual keep, get back, or improve skills and functioning for daily living that have been lost or impaired because the individual was sick, hurt, or disabled. | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | 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 | GN | Services delivered under an outpatient speech language pathology plan of care | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2018-01-01 | Changed | Long medium and short descriptions changed. |
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2006-01-01 | Added | First appearance in code book in 2006. |
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