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CPT Code 97799: Unlisted physical medicine and rehabilitation service

CPT Code 97799 is the unlisted physical medicine and rehabilitation service code defined by the American Medical Association (AMA). Coders use it only when no specific code in the 97010-97799 range describes the treatment performed. Every claim submitted with 97799 goes to manual payer review, which means slower payment and closer documentation scrutiny than a […]

ICD-10 code M43.3: Recurrent atlantoaxial dislocation with myelopathy

ICD-10 code M43.3 is the billable diagnosis code for recurrent atlantoaxial dislocation with myelopathy: Repeated displacement of the C1-C2 joint with confirmed spinal cord involvement. Physicians assign it only when a prior dislocation episode and current neurological deficits are both documented, distinguishing it from the more general M43.4. ICD-10 code M43.3: Definition, billable status, and […]

CPT Code 01214: Anesthesia for open total hip arthroplasty

CPT Code 01214 is the procedure code for anesthesia provided during open procedures involving the hip joint, specifically total hip arthroplasty (THA). The American Medical Association (AMA), which maintains the CPT code set, defines 01214 as covering the anesthesia service for an open surgical approach to total hip replacement. This distinguishes it from arthroscopic hip […]

ICD-10 Code M32.8: Other forms of systemic lupus erythematosus

ICD-10 code M32.8 is a billable diagnosis code for other forms of systemic lupus erythematosus (SLE). It covers documented presentations that do not fit the drug-induced, organ-involvement, or unspecified categories. Coders often default to M32.9 when a note does not specify a lupus subtype. That habit raises audit exposure and, under some payer contracts, pays […]

AC resisted extension test: Steps, accuracy and template

Download your free AC resisted extension test template A standardized assessment template for physical therapists and musculoskeletal clinicians. It guides patient positioning, examiner technique, positive-finding documentation, and systematic recording of AC joint assessment results. Download template Most guides to the AC resisted extension test stop at the single maneuver. But a positive result only becomes […]

ICD-10 Code M27.1: Giant cell granuloma, central

ICD-10 code M27.1 is the billable diagnosis code for giant cell granuloma, central. It marks a benign but locally aggressive lesion within the bone of the jaw. The code applies only when the lesion is central, meaning intraosseous. It does not cover the gingival soft-tissue form, which is the peripheral variant coded elsewhere. For coders, […]

ICD-10 Code M17.0: Bilateral primary osteoarthritis of knee

ICD-10 Code M17.0 is the billable diagnosis code for bilateral primary osteoarthritis of the knee. It covers degenerative “wear-and-tear” osteoarthritis (OA) in both knees, with no traumatic or secondary cause. Because one code covers both joints, most M17.0 billing mistakes come from splitting bilateral disease across the two unilateral knee codes, or missing the primary-versus-post-traumatic […]

ICD-10 M17.4: Other bilateral secondary knee osteoarthritis

ICD-10 code M17.4 is the billable diagnosis code for other bilateral secondary osteoarthritis of knee: osteoarthritis in both knees driven by an identifiable secondary condition rather than ordinary age-related wear. It is one code within the M17 family that covers bilateral osteoarthritis of the knees, and it is also one of the most under-coded. Clinicians […]

CPT code 01820: Anesthesia for closed procedures on radius, ulna, wrist, or hand bones

CPT code 01820: Definition and clinical description CPT code 01820 describes anesthesia services for all closed procedures performed on the radius, ulna, wrist, or hand bones. The American Medical Association (AMA), which maintains the Current Procedural Terminology (CPT) code set, revised both the short and medium descriptions for this code effective January 1, 2026. The […]

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