ࡱ> :9 I\pbimckeeckal Ba==h<%8X@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_) 0.000                + ) , *   *0 1"4 1 $  $  "0 *0"@@ *0"@ *4"@ *4 " @  ,  ,"@ "<  Normal_Sheet1` physician's fee schedule  ;  ;/ROM MEAS-REPORT (SEP PRO); EA EXTREM/TRUNK SECT0NEEDLE EMG; 1 EXTREM W/WO RELATED PARASPIN AREAS0NEEDLE EMG; 2 EXTREM W/WO RELATED PARASPIN AREAS*NERVE CONDUC STUDY EA NRV; MOTOR WO F-WAVE)NERVE CONDUC STUDY EA NRV; MOTOR W/F-WAVE(NERVE CONDUC STUDY EA NRV; SENSORY/MIXED-SOMATOSENSORY STUDY ANY/ALL NERV; UPPER LIMBS/H-REFLEX AMP & LATENCY STUDY; GASTROCNEM/SOLEUSPHYS THERAP EVALPHYS THERAP RE-EVAL&APPLIC MODAL 1/> AREAS; HOT/COLD PACKS%APPLIC MODAL 1/> AREAS; TRACTION-MECH!APPLIC MODAL 1/> AREAS; ELEC STIM%APPLIC MODAL 1/> AREAS; PARAFFIN BATH!APPLIC MODAL 1/> AREAS; WHIRLPOOL!APPLIC MODAL 1/> AREAS; DIATHERMY+APPLIC MODAL 1/> AREAS; ELEC STIM EA 15 MIN/APPLIC MODAL 1/> AREAS; IONTOPHORESIS EA 15 MIN,APPLIC MODAL 1/> AREAS; ULTRASOUND EA 15 MIN*THERAP PROC 1/> AREAS EA 15 MIN; EXERCISES0THERAP PROC 1/> AREAS EA 15 MIN; BALANCE/COORDIN/THERAP PROC 1/> AREAS EA 15 MIN; AQUATIC THERAP.THERAP PROC 1/> AREAS EA 15 MIN; GAIT TRAINING(THERAP PROC 1/> AREAS EA 15 MIN; MASSAGE(MANUAL THERAP TECH-1/> REGIONS-EA 15 MINAppendix Exhibit 1-THERAP ACTIVITIES DIRECT PT CONTACT EA 15 MIN*SELF CARE/HOME MGMT TRAIN-1 ON 1-EA 15 MIN/PHYS PERFORMANCE TEST/MEASUR W/REPORT EA 15 MIN/OSTEOPATHIC MANIP TX; 1-2 BODY REGIONS INVOLVED)CHIROPRACTIC MANIP TX; SPINAL 1-2 REGIONS)CHIROPRACTIC MANIP TX; SPINAL 3-4 REGIONS'CHIROPRACTIC MANIP TX; SPINAL 5 REGIONS0OFFIC/OUTPT VISIT E&M NEW MODERAT SEVERITY 30MIN0OFFIC/OUTPT VISIT E&M NEW MOD-HI SEVERITY 45 MIN0OFFIC/OUTPT VISIT E&M NEW MOD-HI SEVERITY 60 MIN.OFFIC/OUTPT VISIT E&M ESTAB NO PHYS PRES 5 MIN0OFFIC/OUTPT VISIT E&M EST SELF-LIMIT/MINOR 10MIN0OFFIC/OUTPT VISIT E&M EST LOW-MOD SEVERITY 15MIN0OFFIC/OUTPT VISIT E&M EST MOD-HI SEVERITY 25 MIN0OFFIC/OUTPT VISIT E&M ESTAB MOD-HI SEVRTY 40 MIN*INIT HOSP CARE-DA E&M HIGH SEVERITY 70 MIN-SUBSQT HOSP CARE-DA E&M STABLE/RECOVER 15 MIN,SUBSQT HOSP CARE-DA E&M MINOR COMPLIC 25 MIN/SUBSQT HOSP CARE-DA E&M SIGNIFIC COMPLIC 35 MIN)OFFICE CONS NEW/ESTAB LOW SEVERITY 30 MIN-OFFIC CONS NEW/ESTAB MODERATE SEVERITY 40 MIN-OFFIC CONS NEW/ESTAB MOD-HIGH SEVERITY 60 MIN-OFFIC CONS NEW/ESTAB MOD-HIGH SEVERITY 80 MIN/INIT INPT CONS NEW/ESTAB MOD-HI SEVERITY 80 MIN)EMER DEPT VISIT E&M LOW-MODERATE SEVERITY%EMER DEPT VISIT E&M MODERATE SEVERITY-EMER DEPT VISIT E&M HIGH SEVERITY URGENT EVAL/EMER DEPT E&M-HIGH SEVERITY IMMED SIGNIF THREAT/CRITICAL CARE E&M-CRIT ILL/ISexyUR; 1ST 30-74 MINMod Description.ISexy TENDON SHEATH/LIG/TRIGGER PT/GANGLION CYST0ARTHROCENTESIS/ASPIR/ISexy; INTERMED JT/BURSA/CYST Region 1 Region 2 Region 3 Physicians' Fee ScheduleCPTCAT HEAD/BRAIN; WO CONTRAST MAT!RAD EXAM CHEST; SNGL VIEW FRONTAL$RAD EXAM CHEST 2 VIEWS FRONTAL & LAT-RAD EXAM RIBS UNILAT; W/PA CHEST MINI 3 VIEWS*RAD EXAM SPINE CERV; ANTEROPOSTERIOR & LAT!RAD EXAM SPINE CERV; MINI 4 VIEWS-RAD EXAM SPINE CERV; COMPLT INCL OBLIQ & FLEX.RAD EXAM SPINE; THORACIC ANTEROPOSTERIOR & LAT$RAD EXAM SPINE LUMBOSACRAL; AP & LAT0RAD EXAM SPINE LUMBOSACRAL; COMPLT W/OBLIQ VIEWS-MRI SPINAL CANAL & CONTENTS CERV; WO CONTRAST/MRI SPINAL CANAL & CONTENTS LUMBAR; WO CONTRAST%RAD EXAM PELVIS; ANTEROPOSTERIOR ONLYCAT PELVIS; W/CONTRAST&RAD EXAM SHOULDER; COMPLT MINI 2 VIEWS#RAD EXAM WRIST; COMPLT MINI 3 VIEWSRAD EXAM HAND; MINI 3 VIEWSMRI ANY JT UPPER EXTREM!RAD EXAM HIP; COMPLT MINI 2 VIEWS*RAD EXAM FEMUR ANTEROPOSTERIOR & LAT VIEWSRAD EXAM KNEE; ONE/TWO VIEWSRAD EXAM KNEE; THREE VIEWS"RAD EXAM KNEE; COMPLT 4/MORE VIEWS"RAD EXAM; TIB & FIB AP & LAT VIEWS!RAD EXAM ANK; COMPLT MINI 3 VIEWS RAD EXAM FT; COMPLT MINI 3 VIEWS8502585610 205502060590801908069080793010958319585195860958619590095903959049592595934970019700297010970129701497018970229702497032970339703597110971129711397116971249714097530975359775098925989409894198942992039920499205992119921299213992149921599223992319923299233992429924399244992459925499282992839928499285992912670450710107102071101720407205072052720707210072110721417214872170721937303073110731307322173510735507356073562735647359073610736307372174160MRI ANY JT LOWER EXTREMCAT ABD; W/CONTRAST-BLD CT; HG/PLATELET CT AUTO & AUTO COMPLT WBCPROTHROMBIN TIMEPSYCH DX INTERVIEW EXAM*PSYCHOTHER OV/OP-BEHV MOD/SUPPT 45-50 MIN;.PSYCHOTHER OV/OP-BEHV MOD 45-50 MIN; W/MED E&M-ECG-ROUTINE W/12 LEADS; INTERPT & REPORT ONLY,MUSC TEST MAN (SEP PROC) W/RPT; EXTREM/TRUNK <@ N r _ DlrJz 1{ U  ^L rf VLL VI S($n(bP0clkXwx X (f(`AvU5azp0jfbbjfb04bIK)0l<4fS0hbt00 ^ ]  :P@@N@ _ ]  ;P@@N@  ]  Aa@A@@    A@@@  ]  B@,@,@    B @ܙ@ܙ@  ]  C @²@²@    C @@@@  ]  D E@@@    D @@@  ]  E@M@ Q@    E@?@p@d@  ]  Fp@@@    F@@:@  ]  G@Z@5@    Gp@\@(@  ]  Hz@s@ҹ@    H@¢@@  ]  IŻ@@S@    I2@@t@  ]  JK@$@@    J8@ԩ@n@  ]  K1@n@K@    K@ @@  ]  LA@)@Q@    L>@@@  ]  MZ@_@U@    Mv@@@D lTFFFFFFFFFFFFFFFFFFFFFFFFFFF T0!b"b#$%&'b(b)* S+b,kX-X ./v01p2b3045b678b9:e;b<b=b>T0?  ]  N @@a@ ! ! ! N!@@@ " "] " O"@@z@ # # # O#@:@@ $ $] $ P$"@@@ % % % P%@@@ & &] & Q&"@@@ ' ' ' Q'@@@ ( (] ( R(@a@Q@ ) ) ) R)Z@m@e@ * *] * S*@&@@ + + + S+n@l@0@ , ,] , T,@@ @ - - - T-П@@H@ . .] . U.<@l@>@ / / / U/(@T@@ 0 0] 0 V0@@v@ 1 1 1 V1<@@@ 2 2] 2 W23@0@@ 3 3 3 W3Z@$@@ 4 4] 4 X4@@ @ 5 5 5 X5П@@H@ 6 6] 6 Y6:@ @y@ 7 7 7 Y7@@`@ 8 8] 8 Z8:@ @y@ 9 9 9 Z9@@`@ : :] : :@a|@!@@ ; ; ; ;d@@V@ < <] < <@aU@l{@ = = = =-@\@s@ >[ >] > >@|@@ ?[ ? ? ?D@ lFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF@T0AbBbCDEFGbHbIJ @SKbLkXMX NOvPQpRbS0TUbVWXbYZe[b\b]b^T0_ @\ @] @ @@.@@ A\ A A A B` B] B B@@@ Ca C] C CW@@@\@ Db D] D DY@@@ Ec E E E@@@ Fd F] F F©@@@ Ge G] G G@@>@ Hf H] H Hr@Z@2@ If I I I@@Y@ Jg J] J JA@;@u@ Kg K K K@@'@ Lh L] L Lu@@Q@ Mh M M M*@5@-@ Ni N] N N@@@ Oi O O O0Y@ @V@ Pj P] P Pu@@Q@ Qj Q Q Q*@5@-@ Rk R] R RS@A @@ Sk S S S@C@z@ Tl T] T T@@E@ Ul U U Ua@@@ Vm V] V V@@B@ Wn W] W W@@B@ Xo X] X X Yp Y] Y Yl@l@֤@ Zq Z] Z Z;@;@@ [r [] [ [l@l@֤@ \s \] \ \¤@¤@0@ ]t ]] ] ]l@l@֤@ ^u ^] ^ ^j@j@@ _v _] _ _@@Z@D@ lFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF`T0abbbcdefgbhbij SkblkXmX novpqprbs0tubvwxbyze{b|b}b~T0 `w `] ` `@@7@ ax a] a a߰@}@D@ by b] b b@@@ cz c] c c@Y@ F@ d{ d] d ḓ@@@ e| e] e eB@@@ f} f] f fة@ʪ@@ g~ g] g g@@@ h h] h h@ĭ@@ i i] i iݱ@m@s@ j j] j j$@@"@ k k] k kr@@?@ l l] l l$@@"@ m m] m !mѳ@ŷ@x@ n n] n "ny@@B@ o o] o #o@@T@ p p] p $pb@@$@ q q] q %q0@^@@ r r] r &r@ʯ@@ s s] s 'sT@O@@ t t] t (tQ@o@M@ u u] u )u@@@@ v v] v *vd@@@ w w] w +w}@˵@y@ x x] x ,x@@@ y y] y -y@@@ z z] z .z@@@ { {] { /{G@1@1@ | |] | 0|.@y@y@ } }] } 1}@j@j@ ~ ~] ~ 2~@@@  ]  3@R@@D@ lFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFT0bb  ]  4@@p@  ]  5@A@@  ]  6a @a@AP@  ]  7u@s@s@ h<FFF>@A  Oh+'0@H\p  Carla Gee  Jean BickalMicrosoft Excel@o^@E՜.+,D՜.+,  PXl t|  Medicode'j physician's fee schedule  Worksheets 6> _PID_GUIDAN{767A48B3-F6C3-421B-94F3-BC86C32023BE}  !"#$%&'(*+,-./02345678Root Entry FN]WorkbookQSummaryInformation()DocumentSummaryInformation81