4 1 ) 1 A prosthesis is an artificial device, often mechanical used to replace a missing part of the
body. Prosthetic training involves working with an amputee on overall conditioning as well
as specific stretching and strengthening of the involved limb and training in the use and
wearing of the prosthesis. Therapy also emphasizes care of the amputation site, and
performance of tasks of daily living with the prosthesis.
An orthosis is a device that supports weak or ineffective joints or muscles, such as a
splint, brace, shoe insert, or cast. Orthotic training concentrates on the increase of motion,
function, and use of a limb that requires an orthosis for support. Therapy also emphasizes
balance and coordination of activities.

4 2 ) 3 97520 Prosthetic training

4 3 ) 1 92630 "Auditory rehabilitation; pre-lingual hearing loss"
92633 "Auditory rehabilitation; post-lingual hearing loss."

4 4 ) 4 Since this was an established patient, only 2 of the 3 elements must meet the level 4
criteria. Also code 99050 for the visit on a weekend when the office is normally closed.

4 5 ) 2 Third party payers denied reimbursement for 92569, "Acoustic reflex decay," stating that is
was bundled in 92568, "Acoustic reflex testing,"
The payers were not persuaded that they were incorrect when contacted by the
audiologists or ASHA

4 6 ) 2 Please note the "i.e." is not an "e.g." so that 92520 is restricted to reporting either
aerodynamic testing or acoustic testing.

4 7 ) 3 92626 and "Evaluation of auditory rehabilitation status; first hour"
92627, "Evaluation of auditory rehabilitation status; "each additional 15 minutes."

4 8 ) 3 * 98960 Education and training for patient self-management by a qualified, nonphysician
health care professional using a standardized curriculum, face-to-face with the patient
(could include caregiver/family) each 30 minutes, individual patient.
* 98961 2 to 4 patients
* 98962 5 to 8 patients

4 9 ) 1 95251: Ambulatory continuous glucose monitoring of interstitial tissue fluid via a
subcutaneous sensor for up to 72 hours; physician interpretation and report.

4 10 ) 2 Deleted 96520; Added 96521 =Refilling and maintenance of portable pump.