F0110UZ – Muscle Performance Assessment of Neurological System - Upper Back / Upper Extremity using Prosthesis
Coding Notes
Active
Billable, valid for HIPAA-covered transactions
PCS Table
Section
F
Physical Rehabilitation and Diagnostic Audiology
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Section Qualifier
0
Rehabilitation
|
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Type
1
Motor and/or Nerve Function Assessment
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Body System / Region | Type Qualifier | Equipment | Qualifier |
0
Neurological System - Head and Neck
1
Neurological System - Upper Back / Upper Extremity
2
Neurological System - Lower Back / Lower Extremity
3
Neurological System - Whole Body
|
0
Muscle Performance
|
E
Orthosis
F
Assistive, Adaptive, Supportive or Protective
U
Prosthesis
Y
Other Equipment
Z
None
|
Z
None
|
0
Neurological System - Head and Neck
1
Neurological System - Upper Back / Upper Extremity
2
Neurological System - Lower Back / Lower Extremity
3
Neurological System - Whole Body
|
1
Integumentary Integrity
3
Coordination/Dexterity
4
Motor Function
G
Reflex Integrity
|
Z
None
|
Z
None
|
0
Neurological System - Head and Neck
1
Neurological System - Upper Back / Upper Extremity
2
Neurological System - Lower Back / Lower Extremity
3
Neurological System - Whole Body
|
5
Range of Motion and Joint Integrity
6
Sensory Awareness/Processing/Integrity
|
Y
Other Equipment
Z
None
|
Z
None
|
D
Integumentary System - Head and Neck
F
Integumentary System - Upper Back / Upper Extremity
G
Integumentary System - Lower Back / Lower Extremity
H
Integumentary System - Whole Body
J
Musculoskeletal System - Head and Neck
K
Musculoskeletal System - Upper Back / Upper Extremity
L
Musculoskeletal System - Lower Back / Lower Extremity
M
Musculoskeletal System - Whole Body
|
0
Muscle Performance
|
E
Orthosis
F
Assistive, Adaptive, Supportive or Protective
U
Prosthesis
Y
Other Equipment
Z
None
|
Z
None
|
D
Integumentary System - Head and Neck
F
Integumentary System - Upper Back / Upper Extremity
G
Integumentary System - Lower Back / Lower Extremity
H
Integumentary System - Whole Body
J
Musculoskeletal System - Head and Neck
K
Musculoskeletal System - Upper Back / Upper Extremity
L
Musculoskeletal System - Lower Back / Lower Extremity
M
Musculoskeletal System - Whole Body
|
1
Integumentary Integrity
|
Z
None
|
Z
None
|
D
Integumentary System - Head and Neck
F
Integumentary System - Upper Back / Upper Extremity
G
Integumentary System - Lower Back / Lower Extremity
H
Integumentary System - Whole Body
J
Musculoskeletal System - Head and Neck
K
Musculoskeletal System - Upper Back / Upper Extremity
L
Musculoskeletal System - Lower Back / Lower Extremity
M
Musculoskeletal System - Whole Body
|
5
Range of Motion and Joint Integrity
6
Sensory Awareness/Processing/Integrity
|
Y
Other Equipment
Z
None
|
Z
None
|
N
Genitourinary System
|
0
Muscle Performance
|
E
Orthosis
F
Assistive, Adaptive, Supportive or Protective
U
Prosthesis
Y
Other Equipment
Z
None
|
Z
None
|
Z
None
|
2
Visual Motor Integration
|
K
Audiovisual
M
Augmentative / Alternative Communication
N
Biosensory Feedback
P
Computer
Q
Speech Analysis
S
Voice Analysis
Y
Other Equipment
Z
None
|
Z
None
|
Z
None
|
7
Facial Nerve Function
|
7
Electrophysiologic
|
Z
None
|
Z
None
|
9
Somatosensory Evoked Potentials
|
J
Somatosensory
|
Z
None
|
Z
None
|
B
Bed Mobility
C
Transfer
F
Wheelchair Mobility
|
E
Orthosis
F
Assistive, Adaptive, Supportive or Protective
U
Prosthesis
Z
None
|
Z
None
|
Z
None
|
D
Gait and/or Balance
|
E
Orthosis
F
Assistive, Adaptive, Supportive or Protective
U
Prosthesis
Y
Other Equipment
Z
None
|
Z
None
|
GEM Conversion to ICD-9 PCS
Fs: 10000
–
Manual testing of muscle function