Physician – Dozens of codes, coding guidelines, and modifiers were revised to eliminate the word “physician” or add the words “other qualified health care professional.” This reflects that in some circumstances it may be appropriate for professionals besides physicians to report the service.
Cast application – Guideline changes were made in the “Application and Strapping” section addressing the application of the first cast, its removal, coding by the individual who performs the initial service, and restorative management. Refer to the section for specific comments. CPT code 29590 (Denis-Browne bar [splint] with manipulation and casting [eg, for metatarsus adductus, clubfoot]) was deleted.
The introduction states that the CPT code set “is also used by other entities to report outpatient services,” but in some cases “specific instructions may define a service as limited to professionals or limited to other entities (i.e., hospital or home health agency).”
The section on the introduction on time was revised to clarify facility reporting of services that extend into a second calendar date.