| NOTE: | The following proposals are subject to change and will not become effective until further notice by the North Carolina Industrial Commission. |
| N.C. Industrial Commission Medical Fee Schedule Chiropractic Section (Items inadvertently omitted from April 1, 2000 revision of the Chiropractic Fee Schedule) |
DRAFT |
Chiropractic physicians may utilize the following splinting and strapping codes.
|
CPT CODE |
PROCEDURE DESCRIPTION |
ALLOWANCE |
|
SPLINTING- BODY AND UPPER EXTREMITY |
||
|
29105 |
Application of long arm splint (shoulder to hand) |
$108.07 |
|
29125 |
Application of short arm splint (forearm to hand); static |
$75.58 |
|
29126 |
Application of short arm splint (forearm to hand); dynamic |
$92.64 |
|
29130 |
Application of finger splint; static |
$52.82 |
|
29131 |
Application of finger splint; dynamic |
$73.95 |
|
STRAPPING-BODY AND UPPER EXTREMITY-ANY AGE |
||
|
29200 |
Strapping; thorax |
$63.47 |
|
29220 |
Strapping; low back |
$80.44 |
|
29240 |
Strapping; shoudler (eg. Velpeau) |
$77.19 |
|
29260 |
Strapping; elbow or wrist |
$60.96 |
|
29280 |
Strapping; hand or finger |
$56.07 |
|
SPLINTING-LOWER EXTREMITY |
||
|
29505 |
Application of long leg splint (thigh to ankle or toes) |
$99.15 |
|
29515 |
Application of short leg splint (calf to foot) |
$94.27 |
|
STRAPPING-LOWER EXTREMITY- ANY AGE |
||
|
29520 |
Strapping; hip |
$69.88 |
|
29530 |
Strapping; knee |
$72.33 |
|
29540 |
Strapping; ankle |
$63.39 |
|
29550 |
Strapping; toes |
$58.50 |
Chiropractors may be reimbursed the regular fee schedule allowance for the following laboratory examination:
|
CPT CODE |
PROCEDURE DESCRIPTION |
ALLOWANCE |
|
81000 |
Urinalysis, by dip stick or tablet reagent… nonautomated with microscopy |
$9.97 |
|
81001 |
Urinalysis, by dip stick or tablet reagent…automated with microscopy |
$7.76 |
|
81002 |
Urinalysis by dip stick or tablet reagent… nonautomated without microscopy |
$7.76 |
|
81003 |
Urinalysis by dip stick or tablet reagent… automated without microscopy |
$7.76 |
|
CPT CODE |
PROCEDURE DESCRIPTION |
ALLOWANCE |
|
64550 |
Application of surface (transcutaneous) neurostimulator |
$42.07 |
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N.C. Industrial Commission · 4319 Mail Service Center · Raleigh, NC 27699-4319