This procedure is considered medically necessary to enable the member to perform essential ADL related to the patient's health and hygiene, within or outside the home, with minimal or no assistance from others. This procedure is considered medically necessary only when it requires the professional ...
+97130 each additional 15 minutes (List separately in addition to code for primary procedure) 97140 Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes 97151 -hyphen 97158 Adaptive Behavior Assessments and treat...
95887 Needle electromyography, non-hyphenextremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary procedure) 95937 Neuromuscular junction testing (repetitive stimulation, paired stimuli), each n...
Sachs BL, Ahmad SS, LaCroix M, et al. Objective assessment for exercise treatment on the B-200 Isostation as part of work tolerance rehabilitation: A random prospective blind evaluation with comparison control population. Spine. 1994;19(1):49-52. Teasell RW, Harth M. Functional restoration: ...
Policy Scope of Policy This Clinical Policy Bulletin addresses jaw motion rehabilitation systems. Medical Necessity Aetna considers jaw motion rehabilitation system (e.g., the Therabite Jaw Motion Rehabilitation System, and the OraStretch press) medically necessary to treat mandibular hypomobility caused ...