NEW! 2010 CPT Codes for Kinesiology Taping! (click for printable PDF document)
SpiderTech has published a comprehensive package entitled, "Utilizing Strapping and Taping Codes for Health Care Reimbursement." It includes:
- Diagnostic Codes that could justify medical necessity for strapping and taping
- 2010 CPT Codes for different areas of the body, plus the appropriate SpiderTech precut taping products for each
- 2010 CPT Procedure Codes that can be applied to kinesiology tape applications
- 2010 HCPCS Codes, including pertinent size information for all SpiderTech precut applications
In addition to the codes, there is a guide describing the best practices to ensure reimbursement for strapping and taping with kinesiology tape.
Kinesiology taping article published in American Chiropractic Association News.
Adding kinesiology taping to your clinical offerings can benefit your clinical outcomes and your bottom line. This comprehensive article discusses clinical applications, training opportunities and marketing benefits for your practice.
CLICK HERE to read entire article.
.
.
Professional Discounts are available to licensed health professionals who register with Theratape.com. CLICK HERE to register. Following acceptance of your registration, you will receive an email with full program details, plus ordering instructions.
NEW RESOURCE! The SpiderTech Professional Product Description is a comprehensive 8-page document directed toward those using or considering using kinesiology taping in a clinical setting. It covers a wide range of topics, including neuromuscular responses to pain, the effect of kinesiology taping on pain pathways, an overview of SpiderTech precut applications and an introduction to general kinesiology taping methods. It concludes with a review of published clinical studies, including references. Click to download free printable PDF document.
Pre-Cut Kinesiology Tape in the Professional Practice
SpiderTech is a line of pre-cut, ready to apply, tape-based therapeutic supports developed to facilitate a functional medicine approach to pain modulation and myofascial dysfunction. This reinvention of kinesiology taping methodologies, in the form of precut applications, is designed for clinical use to provide a standardization in kinesiology taping therapy.
There are numerous benefits to incorporating precut kinesiology tape applications into a professional practice:
♦ Precut applications are easier to use, with fast, efficient and duplicable application
♦ Improved clinical skill sets for the progressive therapist
♦ More consistent and more effective clinical results
♦ Kinesiology taping works synergistically with other therapeutic modalities
♦ The patient is able to achieve early engagement in pain-free ranges of motion and strengthening exercises
♦ The patient is able to maintain the therapeutic benefits at home between treatments
The 3P Therapeutic Protocol
SpiderTech precut kinesiology tape and SpiderTape by the roll meet the needs of today's rehabilitative and performance enhancing professionals by providing a coupled, synergistic influence on pain reduction, injury prevention and performance enhancement. This triple benefit is referred to as 3P, and identifies when SpiderTech applications can be used most effectively:
1. PAIN reduction via neural mechanisms which result in the restoration of normal position sense and muscle activation patterns.
2. PREVENTION through re-establishing functional joint stability, enhancing the necessary natural healing mechanisms and through smooth, controlled limitation of potentially harmful ranges of motion.
3. PERFORMANCE enhancement indirectly through decreased repetitive strain trauma, decreased onset of muscula
r fatigue and the reduced occurrence of muscle cramping.
Health Insurance Reimbursement Codes
Kinesiology taping products and procedures are reimbursable under several CPT codes as well as HCPCS codes for Medicare.The following codes have been provided by SpiderTech for applications of precut kinesiology taping products.
CPT Reimbursement Codes for SpiderTech Applications (2009)
Printable Version
CPT CODES 2009 |
QUALIFYING SPIDERTECH APPLICATIONS |
| 29200 - Strapping of Thorax |
Upper Back (Postural) Spider, Lower Back Spider, Lymphatic Spider,Neck Spider |
29220 - Strapping of Lower Back
|
Lower Back Spider, Lymphatic Spider, Neck Spider |
| 29240 - Strapping of Shoulder |
Shoulder Spider, Hip Spider, Upper Back (Postural) Spider, Lymphatic Spider, Neck Spider |
29260 - Strapping of Elbow or Wrist
|
Elbow Spider, Wrist Spider, Lymphatic Spider |
| 29280 - Strapping of Finger or Hand |
Wrist Spider, Lymphatic Spider |
| 29520 - Strapping of Hip |
Hip Spider, Lymphatic Spider |
| 29530 - Strapping of Knee |
Full Knee Spider, Upper Knee Spider, Lymphatic Spider, Hip Spider |
29540 - Strapping of Ankle and/or Foot 29590 - Strapping of Foot 29550 - Strapping of Toes |
Calf & Arch Spider, Lymphatic Spider, Ankle Spider |
| 97110 - Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility |
Any SpiderTech Application, SpiderTape (roll) |
| 97112 - Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities |
Any SpiderTech Application, SpiderTape (roll) |
| 97533 - Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact by the provider, each 15 minutes |
Any SpiderTech Application, SpiderTape (roll) |
| 97799 - Unlisted physical medicine/rehabilitation service or procedure - specify |
Any SpiderTech Application, SpiderTape (roll) |
| 97799 - Unlisted therapeutic procedure - specify |
Any SpiderTech Application, SpiderTape (roll) |
NOTES FOR CPT 2009 CODES
The above CPT 2009 Codes can be used for strapping as a replacement procedures during or after the period of follow-up care or when it is the initial service performed without a restorative treatment or procedure(s) to stabilize or protect an injury and/or to afford comfort to a patient.
The physician who applies the initial strapping and also assumes all of the subsequent injury care cannot use the application of the strapping codes as an initial service, since the first strapping application is included in the initial treatment codes.
A temporary strap is not considered to be part of the preoperative care, and the use of the modifier 56 is not applicable. Additional evaluation and management services are reportable only if significant identifiable further services are provided at the time of the strapping.
If strapping is provided as an initial service (e.g., for a sprained ankle or knee) in which no other procedure or treatment is performed or is expected to be performed by a physician rendering the initial care only, strapping in addition to an evaluation and management code can be used as appropriate.
Your local Medicare carrier has specific coverage instructions for processing certain CPT 2009 Codes. While these codes are covered by the Medicare program, the use of these codes does not guarantee payment. If you have a question about a specific code in this category, review your Medicare provider manual or consult with your local Medicare carrier.
We encourage all users of SpiderTech™ Applications and SpiderTape™ to ensure that the specific codes are verified to the corresponding procedure in each geographical region before submitting the claim. This list of re-imbursement codes and their corresponding applications is to be used as a guide and Nucap Medical Inc. and its subsidiaries, is not to be held liable for any disputes or lack of reimbursement. We are willing to aid all users of SpiderTech™ Applications and/or SpiderTape™ Rolls in providing reimbursement, if you have any questions or concerns regarding reimbursements please contact us.
Average Reimbursement Amounts for SpiderTech CPT Codes
Printable Version
2009 CPT CODES |
Medicare Payment*** Non Facility*
|
Medicare Payment*** Facility**
|
Non-Medicare Maximum Reimbursement
|
| 29200 - Strapping of Thorax |
$47.25
|
$37.15
|
$63.47
|
| 29220 - Strapping of Lower Back |
$48.69
|
$38.59
|
$80.44
|
| 29240 - Strapping of Shoulder |
$53.02
|
$41.48
|
$77.19
|
| 29260 - Strapping of Elbow or Wrist |
$45.80
|
$34.26
|
$60.96
|
| 29280 - Strapping of Hand or Finger |
$55.27
|
$38.12
|
$56.07
|
| 29520 - Strapping of Hip |
$44.36
|
$33.90
|
$69.88
|
| 29530 - Strapping of Knee |
$46.53
|
$34.98
|
$72.33
|
| 29540 - Strapping of Ankle and/or Foot |
$38.59
|
$31.38
|
$63.39
|
| 29590 - Strapping of Foot |
$50.85
|
$40.39
|
$63.39
|
| 29550 - Strapping of Toes |
$37.51
|
$29.57
|
$58.50
|
*Non Facility: Includes all other settings.
**Facility: Includes hospitals (inpatient, outpatient, and emergency dept), ambulatory surgical centers (ASCs), and skilled nursing facilities (SNFs).
***This is National Average Fee Schedule based on 2009 CPT Codes and Medicare Payment information from the AMA Website. This may not reflect
the true cost of services provided. Private sector fees will vary.
NOTES FOR CPT 2009 CODES
The above CPT 2009 Codes can be used for strapping as a replacement procedures during or after the period of follow-up care or when it is the initial service performed without a restorative treatment or procedure(s) to stabilize or protect an injury and/or to afford comfort to a patient.
The physician who applies the initial strapping and also assumes all of the subsequent injury care cannot use the application of the strapping codes as an initial service, since the first strapping application is included in the initial treatment codes.
A temporary strap is not considered to be part of the preoperative care, and the use of the modifier 56 is not applicable.Additional evaluation and management services are reportable only if significant identifiable further services are provided at the time of the strapping.
If strapping is provided as an initial service (e.g., for a sprained ankle or knee) in which no other procedure or treatment isperformed or is expected to be performed by a physician rendering the initial care only, strapping in addition to an evaluation and management code can be used as appropriate.
Your local Medicare carrier has specific coverage instructions for processing certain CPT 2009 Codes. While these codes are covered by the Medicare program, the use of these codes does not guarantee payment. If you have a question about a specific code in this category, review your Medicare provider manual or consult with your local Medicare carrier.
We encourage all users of SpiderTech™ Applications and SpiderTape™ to ensure that the specific codes are verified to the corresponding procedure in each geographical region before submitting the claim. This list of reimbursement codes and their corresponding applications is to be used as a guide and Nucap Medical Inc. and its subsidiaries, is not to be held liable for any disputes or lack of reimbursement. We are willing to aid all users of SpiderTech™ Applications and/or SpiderTape™ Rolls in providing reimbursement, if you have any questions or concerns regarding reimbursements please contact us.
HCPCS REIMBURSEMENT CODES FOR SPIDERTECH APPLICATIONS (2009)
Printable Version
HCPCS 2009 CODE |
SPIDERTECH™ APPLICATION OR UNIT OF MEASURE OF SPIDERTAPE™ |
| A4452 - Tape, waterproof, per 18 square inches |
Any SpiderTech Application or Unit Measure of SpiderTape |
| A4452 x 3.2 units† |
Upper Knee Spider - 57 square inches† |
| A4452 x 5.2 units† |
Full Knee Spider - 94 square inches† |
| A4452 x 5.7 units† |
Calf & Arch Spider - 103 square inches† |
| A4452 x 3.8 units† |
Shoulder Spider - 69 square inches† |
| A4452 x 2.9 units† |
Lower Back Spider - 52 square inches† |
| A4452 x 3.3 units† |
Lymphatic Spider - 59 square inches† |
| A4452 x 1.6 units† |
Medium Lymphatic Spider - 29 square inches† |
| A4452 x 1.0 units† |
Small Lymphatic Spider - 18 square inches† |
| A4452 x 1.8 units† |
Neck Spider - 32 square inches† |
| A4452 x 2.9 units† |
Ankle Spider - 51 square inches† |
| A4452 x 2.4 units† |
Hip Spider - 43 square inches† |
| A4452 x 2.2 units† |
Upper Back/Postural Spider - 40 square inches† |
| A4452 x 2.5 units† |
Groin Spider - 45 square inches† |
| A4452 x 3.2 units† |
Hamstring Spider - 58 square inches† |
| A4452 x 2.9 units† |
Elbow Spider - 52 square inches† |
| A4452 x 1.1 units†/side |
Wrist Spider - 20 square inches† per side |
†HCPCS 2009 Code A4452 is a unit measure of 18 square inches. This is an approximate measurement for each of SpiderTech™ Application and should be used as a guide only.
HCPCS 2009 REIMBURSEMENT CODES FOR SPIDER-TECH APPLICATIONS
The HCPCS 2009 Codes can be used for SpiderTech™ Applications or SpiderTape™ Rolls in order to provide support or stabilization of an extremity. These are NOT TIME BASED CODES.
Your local Medicare carrier has specific coverage instructions for processing certain HCPCS codes. While these codes are covered by the Medicare program, the use of these codes does not guarantee payment. If you have a question about a specific code in this category, review your Medicare provider manual or consult with your local Medicare carrier.
We encourage all SpiderTech™ users to ensure that the specific codes are verified to the corresponding procedure in each geographical region before submitting the claim. This list of reimbursement codes and their corresponding applications is to be used as a guide and Nucap Medical Inc. and its subsidiaries, is not to be held liable for any disputes or lack of reimbursement. We are willing to aid all users of SpiderTech™ Applications in providing reimbursement, if you have any questions or concerns regarding reimbursements please contact us.