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Medical Policy Outpatient Cognitive Rehabilitation

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Medical Policy Outpatient Cognitive Rehabilitation Medical Policy Outpatient Cognitive Rehabilitation Table of Contents Policy: Commercial Coding Information Information Pertaining to All Policies Policy: Medicare Description References Authorization Information Policy History Policy Number: 660 BCBSA Reference Number: 8.03.10 Related Policies Sensory Integration Therapy, #659 Policy Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity Medicare HMO BlueSM and Medicare PPO BlueSM Members Outpatient cognitive rehabilitation (as a distinct and definable component of the rehabilitation process) may be MEDICALLY NECESSARY in the rehabilitation of patients with traumatic brain injury. Outpatient cognitive rehabilitation (as a distinct and definable component of the rehabilitation process) is INVESTIGATIONAL for all applications, including, but not limited to, stroke, post-encephalitic or post- encephalopathy patients, autism spectrum disorders, seizure disorders, and the aging population, including Alzheimer’s patients. Prior Authorization Information Pre-service approval is required for all inpatient services for all products. See below for situations where prior authorization may be required or may not be required for outpatient services. Yes indicates that prior authorization is required. No indicates that prior authorization is not required. Outpatient Commercial Managed Care (HMO and POS) No Commercial PPO and Indemnity No Medicare HMO BlueSM No Medicare PPO BlueSM No 1 CPT Codes / HCPCS Codes / ICD-9 Codes The following codes are included below for informational purposes. Inclusion or exclusion of a code does not constitute or imply member coverage or provider reimbursement. Please refer to the member’s contract benefits in effect at the time of service to determine coverage or non-coverage as it applies to an individual member. A draft of future ICD-10 Coding related to this document, as it might look today, is included below for your reference Providers should report all services using the most up-to-date industry-standard procedure, revenue, and diagnosis codes, including modifiers where applicable. CPT Codes CPT codes: Code Description Development of cognitive skills to improve attention, memory, problem solving (include compensatory training), direct (one on one) patient contact by the provider, each 15 97532 minutes ICD-9 Diagnosis Codes ICD-9-CM diagnosis codes: Code Description Cortex (Cerebral) Contusion Without Mention Of Open Intracranial Wound, State Of 851.00 Consciousness Unspecified Cortex (Cerebral) Contusion Without Mention Of Open Intracranial Wound, With No Loss 851.01 Of Consciousness Cortex (Cerebral) Contusion Without Mention Of Open Intracranial Wound, With Brief 851.02 [Less Than One Hour] Loss Of Consciousness Cortex (Cerebral) Contusion Without Mention Of Open Intracranial Wound, With Moderate 851.03 [1-24 Hours] Loss Of Consciousness Cortex (Cerebral) Contusion Without Mention Of Open Intracranial Wound, With 851.04 Prolonged [More Than 24 Hours] Loss Of Consciousness And Return To Pre-Existing Conscious Level Cortex (Cerebral) Contusion Without Mention Of Open Intracranial Wound, With 851.05 Prolonged [More Than 24 Hours] Loss Of Consciousness, Without Return To Pre-Existing Conscious Leve Cortex (Cerebral) Contusion Without Mention Of Open Intracranial Wound, With Loss Of 851.06 Consciousness Of Unspecified Duration Cortex (Cerebral) Contusion Without Mention Of Open Intracranial Wound, With 851.09 Concussion, Unspecified Cortex (Cerebral) Laceration Without Mention Of Open Intracranial Wound, With State Of 851.20 Consciousness Unspecified Cortex (Cerebral) Laceration Without Mention Of Open Intracranial Wound, With No Loss 851.21 Of Consciousness Cortex (Cerebral) Laceration Without Mention Of Open Intracranial Wound, With Brief 851.22 [Less Than One Hour] Loss Of Consciousness Cortex (Cerebral) Laceration Without Mention Of Open Intracranial Wound, With 851.23 Moderate [1-24 Hours] Loss Of Consciousness Cortex (Cerebral) Laceration Without Mention Of Open Intracranial Wound, With 851.24 Prolonged [More Than 24 Hours] Loss Of Consciousness And Return To Pre-Existing Conscious Level Cortex (Cerebral) Laceration Without Mention Of Open Intracranial Wound, With 851.25 Prolonged [More Than 24 Hours] Loss Of Consciousness, Without Return To Pre-Existing 2 Conscious Level Cortex (Cerebral) Laceration Without Mention Of Open Intracranial Wound, With Loss Of 851.26 Consciousness Of Unspecified Duration Cortex (Cerebral) Laceration Without Mention Of Open Intracranial Wound, With 851.29 Concussion, Unspecified Cerebellar Or Brain Stem Contusion Without Mention Of Open Intracranial Wound, With 851.40 State Of Consciousness Unspecified Cerebellar Or Brain Stem Contusion Without Mention Of Open Intracranial Wound, With 851.41 No Loss Of Consciousness Cerebellar Or Brain Stem Contusion Without Mention Of Open Intracranial Wound, With 851.42 Brief [Less Than One Hour] Loss Of Consciousness Cerebellar Or Brain Stem Contusion Without Mention Of Open Intracranial Wound, With 851.43 Moderate [1-24 Hours] Loss Of Consciousness Cerebellar Or Brain Stem Contusion Without Mention Of Open Intracranial Wound, With 851.44 Prolonged [More Than 24 Hours] Loss Consciousness And Return To Pre-Existing Conscious Level Cerebellar Or Brain Stem Contusion Without Mention Of Open Intracranial Wound, With 851.45 Prolonged [More Than 24 Hours] Loss Of Consciousness, Without Return To Pre-Existing Conscious Level Cerebellar Or Brain Stem Contusion Without Mention Of Open Intracranial Wound, With 851.46 Loss Of Consciousness Of Unspecified Duration Cerebellar Or Brain Stem Contusion Without Mention Of Open Intracranial Wound, With 851.49 Concussion, Unspecified Cerebellar Or Brain Stem Contusion With Open Intracranial Wound, With State Of 851.50 Consciousness Unspecified Cerebellar Or Brain Stem Contusion With Open Intracranial Wound, With No Loss Of 851.51 Consciousness Cerebellar Or Brain Stem Contusion With Open Intracranial Wound, With Brief [Less Than 851.52 One Hour] Loss Of Consciousness Cerebellar Or Brain Stem Contusion With Open Intracranial Wound, With Moderate [1-24 851.53 Hours] Loss Of Consciousness Cerebellar Or Brain Stem Contusion With Open Intracranial Wound, With Prolonged [More 851.54 Than 24 Hours] Loss Of Consciousness And Return To Pre-Existing Conscious Level Cerebellar Or Brain Stem Contusion With Open Intracranial Wound, With Prolonged [More 851.55 Than 24 Hours] Loss Of Consciousness Without Return To Pre-Existing Conscious Level Cerebellar Or Brain Stem Contusion With Open Intracranial Wound, With Loss Of 851.56 Consciousness Of Unspecified Duration Cerebellar Or Brain Stem Contusion With Open Intracranial Wound, With Concussion, 851.59 Unspecified Cerebellar Or Brain Stem Laceration Without Mention Of Open Intracranial Wound, With 851.60 State Of Consciousness Unspecified Cerebellar Or Brain Stem Laceration Without Mention Of Open Intracranial Wound, With 851.61 No Loss Of Consciousness Cerebellar Or Brain Stem Laceration Without Mention Of Open Intracranial Wound, With 851.62 Brief [Less Than 1 Hour] Loss Of Consciousness Cerebellar Or Brain Stem Laceration Without Mention Of Open Intracranial Wound, With 851.63 Moderate [1-24 Hours] Loss Of Consciousness Cerebellar Or Brain Stem Laceration Without Mention Of Open Intracranial Wound, With 851.64 Prolonged [More Than 24 Hours] Loss Of Consciousness And Return To Pre-Existing Conscious Level Cerebellar Or Brain Stem Laceration Without Mention Of Open Intracranial Wound, With 851.65 Prolonged [More Than 24 Hours] Loss Of Consciousness, Without Return To Pre-Existing 3 Conscious Level Cerebellar Or Brain Stem Laceration Without Mention Of Open Intracranial Wound, With 851.66 Loss Of Consciousness Of Unspecified Duration Cerebellar Or Brain Stem Laceration Without Mention Of Open Intracranial Wound, With 851.69 Concussion, Unspecified Other And Unspecified Cerebral Laceration And Contusion, Without Mention Of Open 851.80 Intracranial Wound, With State Of Consciousness Unspecified Other And Unspecified Cerebral Laceration And Contusion, Without Mention Of Open 851.81 Intracranial Wound, With No Loss Of Consciousness Other And Unspecified Cerebral Laceration And Contusion, Without Mention Of Open 851.82 Intracranial Wound, With Brief [Less Than One Hour] Loss Of Consciousness Other And Unspecified Cerebral Laceration And Contusion, Without Mention Of Open 851.83 Intracranial Wound, With Moderate [1-24 Hours] Loss Of Consciousness Other And Unspecified Cerebral Laceration And Contusion, Without Mention Of Open 851.84 Intracranial Wound, With Prolonged [More Than 24 Hours] Loss Of Consciousness And Return To Pre- Existing Conscious Level Other And Unspecified Cerebral Laceration And Contusion, Without Mention Of Open 851.85 Intracranial Wound, With Prolonged [More Than 24 Hours] Loss Of Consciousness, Without Return To Pre-Existing Conscious Level Other And Unspecified Cerebral Laceration And Contusion, Without Mention Of Open 851.86 Intracranial Wound, With Loss Of Consciousness Of Unspecified Duration Other And Unspecified Cerebral Laceration And Contusion, Without Mention Of Open 851.89 Intracranial Wound, With Concussion, Unspecified Other And Unspecified Cerebral Laceration And Contusion, With Open Intracranial 851.90 Wound, With State Of Consciousness Unspecified Other And Unspecified Cerebral Laceration And Contusion, With Open Intracranial 851.91 Wound, With No Loss Of Consciousness Other And Unspecified Cerebral Laceration And Contusion, With Open Intracranial 851.92 Wound,
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