F02Z4FZ – Home Management Assessment using Assistive, Adaptive, Supportive or Protective Equipment
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
2
Activities of Daily Living Assessment
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Body System / Region | Type Qualifier | Equipment | Qualifier |
0
Neurological System - Head and Neck
|
9
Cranial Nerve Integrity
D
Neuromotor Development
|
Y
Other Equipment
Z
None
|
Z
None
|
1
Neurological System - Upper Back / Upper Extremity
2
Neurological System - Lower Back / Lower Extremity
3
Neurological System - Whole Body
|
D
Neuromotor Development
|
Y
Other Equipment
Z
None
|
Z
None
|
4
Circulatory System - Head and Neck
5
Circulatory System - Upper Back / Upper Extremity
6
Circulatory System - Lower Back / Lower Extremity
8
Respiratory System - Head and Neck
9
Respiratory System - Upper Back / Upper Extremity
B
Respiratory System - Lower Back / Lower Extremity
|
G
Ventilation, Respiration and Circulation
|
C
Mechanical
G
Aerobic Endurance and Conditioning
Y
Other Equipment
Z
None
|
Z
None
|
7
Circulatory System - Whole Body
C
Respiratory System - Whole Body
|
7
Aerobic Capacity and Endurance
|
E
Orthosis
G
Aerobic Endurance and Conditioning
U
Prosthesis
Y
Other Equipment
Z
None
|
Z
None
|
7
Circulatory System - Whole Body
C
Respiratory System - Whole Body
|
G
Ventilation, Respiration and Circulation
|
C
Mechanical
G
Aerobic Endurance and Conditioning
Y
Other Equipment
Z
None
|
Z
None
|
Z
None
|
0
Bathing/Showering
1
Dressing
3
Grooming/Personal Hygiene
4
Home Management
|
E
Orthosis
F
Assistive, Adaptive, Supportive or Protective
U
Prosthesis
Z
None
|
Z
None
|
Z
None
|
2
Feeding/Eating
8
Anthropometric Characteristics
F
Pain
|
Y
Other Equipment
Z
None
|
Z
None
|
Z
None
|
5
Perceptual Processing
|
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
|
6
Psychosocial Skills
|
Z
None
|
Z
None
|
Z
None
|
B
Environmental, Home and Work Barriers
C
Ergonomics and Body Mechanics
|
E
Orthosis
F
Assistive, Adaptive, Supportive or Protective
U
Prosthesis
Y
Other Equipment
Z
None
|
Z
None
|
Z
None
|
H
Vocational Activities and Functional Community or Work Reintegration Skills
|
E
Orthosis
F
Assistive, Adaptive, Supportive or Protective
G
Aerobic Endurance and Conditioning
U
Prosthesis
Y
Other Equipment
Z
None
|
Z
None
|
GEM Conversion to ICD-9 PCS
Fs: 10000
–
Functional evaluation