Ankle-Foot/Knee-Ankle-Foot Orthosis

Canes

&

Crutches

Cervical

Traction

Devices

Commodes

Continuous Passive Motion (CPM) Machines

Custom Knee Braces

Electrical Bone Growth Stimulation: Noninvasive

Electrical Nerve Stimulation, Transcutaneous, Percutaneous

Foot Orthoses, Foot Care Services

Heating Pads

&

Heat Lamps

Hospital Beds

&

Accessories

Lower Limb Prostheses

Negative Pressure Wound Therapy Pumps

Neuromuscular Stimulation in the Treatment of Muscle Atrophy

Orthopedic Footwear

Patient

Lifts

Pediatric Gait Trainers

Prefabricated & Prophylactic Knee Braces

Pressure Reducing Support Surfaces - Group 1

Pressure Reducing Support Surfaces - Group 2

Pressure Reducing Support Surfaces - Group 3

Power Operated Vehicle (POV)

Scoliosis Braces

& Casts

Seat Lift Mechanisms

Spinal Orthoses: TLSO and LSO

Surgical Dressings

SUPPLIES  TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) & NEUROMUSCULAR ELECTRICAL STIMULATION (NMES)

Therapeutic Shoes for Persons with Diabetes

Walkers

Wheelchairs & Wheelchair Accessories

Narcotic Analgesics

Narcotic Analgesic Combinations

CT

 Pelvis

CT

Thorax

MRI

of the Ankle & Hindfoot

MRI

Elbow

MRI

Hip

MRI

Shoulder

Magnetic Resonance

Imaging (MRI) Lumbar Spine

Commercial

MRI

Upper Extremity

MRI of Joints

MRI

Spine

SPECT Scan for Evaluation of Spondylolysis, Spondylolisthesis & Skeletal Disorders

Duplex Scan Of Lower Extremity Arteries

Non-Invasive Evaluation of Extremity Veins

3D Interpretation & Reporting of Imaging

Studies

Bone

Mass

Measurement

Cervical Artificial Intervertebral

Disc

Cervical

Fusion

Cervical Laminectomy Other Than for Herniated Disc

Cervical Laminoplasty

Cervical Laminectomy for Herniated Disc

Cervical

Spine

Surgery

Coccygectomy & Treatments for Coccydynia

Destruction of Paravertebral Facet Joint Nerve(s)

Discography

Dorsal Column Stimulation

Endoscopic & Percutaneous Lysis of Epidural Adhesions

Epidural

Facet Joint Denervation

Facet Joint Injections, Medial Branch Blocks, & Facet Joint Radiofrequency

Growing Rods for Spinal Surgery

Idiopathic Scoliosis Treatment

Interspinous Process Decompression

Lumbar Spinal Fusion

Lumbar Total Disc Arthroplasty (TDA)

Pedicle Screws for Spinal Fixation & Intervertebral Body Fusion Devices

 Paravertebral Facet Joint

Block

Percutaneous Vertebral Augmentation (Vertebral Augmentation) (Formerly Kyphoplasty)

Recombinant Human Bone Morphogenetic Protein

Sacral

Nerve Stimulation

 Sacroiliac Joint Injection

SI Joint Fusion - Medicare

SI Joint Fusion - non-Medicare

Scoliosis

& Spinal Deformity

Spinal Cord Stimulation (Dorsal Column Stimulation)

Spinal Decompression Surgery

Surgical Correction of Pectus Excavatum & Poland's Syndrome

Thoracic Laminectomy (and/or Thoracic Diskectomy & Fusion)

Thoracoscopic Sympathectomy

Total Artificial Disc Replacement for the Spine

Shoulder Arthrodesis

Shoulder Arthroplasty

Shoulder Arthroplasty Revision

Shoulder Arthroscopy

Shoulder Arthroscopy-Slap Repair or Biceps Tenodesis

Shoulder Arthroscopy-Claviculectomy/Decompresion-Partial Acromioplasty

Shoulder Arthroscopy-Rotator Cuff

Repair

Shoulder - Reverse Arthroplasty

Shoulder

Manipulation Under Anesthesia (MUA)

Winged

Scapula

Surgery

Elbow, Radial

Head Implant

 Elbow, Total Arthroplasty

Elbow

Manipulation Under Anesthesia (MUA)

Carpal Tunnel Surgery

Collagenase Clostridium Histolyticum (Xiaflex ®) for Dupuytren's Contracture

Dupuytren's Contracture -Surgical Treatment

Metacarpo-Phalangeal (MCP)

& Proximal Interphalangeal (PIP) Joint Implants

 Nail

Debridement

Wrist, Total

Arthroplasty

Core Decompression for Avascular Necrosis

Distraction Osteosynthesis & Femoral Shortening

Femoroacetabular Impingement Syndrome

Hip, Arthroscopy

Hip Replacement/Arthroplasty

Hip

Resurfacing

Hip Surgery-Arthroscopic

& Open Procedures

Hip, Total

(THA)

Ilizarov Method

of Distraction Osteosynthesis

Outpatient

Total Knee & Total Hip Arthroplasty

Surgical Treatment of Femoroacetabular Impingement Syndrome

Arthroscopic Menisectomy with Osteoarthritis of the Knee

Arthroscopic Anterior Cruciate Ligament Surgery in Skeletally Immature

Arthroscopy for Treatment of Knee Derangement

Articular Cartilage Restoration/Repair of the Knee

Debridement With or Without Chondroplasty

Knee

Diagnostic

Knee Arthroscopy

Elective Knee Arthroscopy & Open Non-Arthroplasty Knee Repair

Knee; Allograft Transplantation of Knee

Knee, Arthroscopy

Knee, Arthroscopy-ACL

Knee, Arthroscopy-Chondroplasty

Knee, Arthroscopy-Fat Pad/Plica Resection

Knee, Arthroscopy-Meniscectomy

Knee, Arthroscopy-PCL

Knee:  Autologous Chondrocyte Implantation (ACI)

Knee Surgery: Arthroscopic & Open Procedures

Knee Replacement/Arthroplasty

Knee, Total

(TKA)

Knee

Unicompartmental

Arthroplasty

Knee

Manipulation Under Anesthesia (MUA)

Lateral Release/Patellar Realignment Knee

Ligament Reconstruction/Repair Knee

Loose Body Removal

Knee

Lysis of Adhesions Arthrofibrosis Knee

Meniscectomy/Meniscal Repair Knee

Outpatient

Total Knee & Total Hip Arthroplasty

Total Joint Arthroplasty - Knee

NGS

( L36039 )

Total Joint Arthroplasty - Knee

Noridian

( L36575 )

Total Knee Arthroplasty

Noridian

( L36577 )

Lower Extremity Major Joint Replacement (Knee)

Novitas

( L36007 )

Total Joint Arthroplasty - Knee

Palmetto

( L33456 )

Synovectomy Knee

Surgical Intervention for Patellofemoral Chondrosis

Visco-supplementation Medicare

Visco-supplementation commercial

Ankle,

Arthroscopy

Ankle,

Revision Total

Replacement

Ankle, Total Replacement

Bunionectomy (hallux valgus surgery)

Bunion

Surgery

Debridement of Mycotic Nails

Destruction by Neurolytic Agent; Interdigital Nerve of the Foot—Morton’s Neuroma

Hammertoe

Repair

Injection of Morton's neuroma

Metatarsal Phalangeal Joint Replacement

 Nail

Debridement

Plantar

Fasciitis Treatment

Surgical Treatment of Plantar Fasciitis

Routine

Foot Care

Botulinum Toxin Type A

& Type B

Collagenase Clostridium Histolyticum (Xiaflex ®) for Dupuytren's Contracture

Complex Regional Pain Syndrome (RSD)

Continuous Peripheral Nerve Blocks

(CPNB)

Debridement Services

Debridement Services of Bone, Muscle, Fascia, & Subcutaneous Tissue

Debridement Services of Extensive Eczematous or Infected Skin

Electrical Bone Growth Stimulation: Noninvasive

Hyaluronan Acid Therapies for Osteoarthritis of the Knee

Hyaluronate Polymers

Implantable Infusion Pump for the Treatment of Chronic Intractable Pain Opioid

Drugs

Implantable Infusion Pump for the Treatment of Chronic Intractable Spasticity

Incision and Drainage of Abscess of Skin, Subcutaneous and Accessory Structures

Injection of

Trigger Points

Nerve Blockade for Treatment of Chronic Pain & Neuropathy

Peripheral

Nerve

Blocks

Recombinant Human Bone Morphogenetic Protein

Treatment of Leg Length Discrepancy

Acute Inpatient Rehabilitation

Chiropractic Services

Constraint-Induced Therapy

EpiFix Wound Treatment

Extracorporeal Shock Wave Therapy for Musculoskeletal Conditions

Mechanical Stretching Devices for Joint Stiffness & Contracture

Medical

Maggots

Medicinal Leech Therapy

Occupational Therapy

Osteopathic Manipulative Treatment

Physical

Therapy

Therapy & Rehabilitation Services

Treatment of Decubitus Ulcers

Strapping

 Unna

Boot

Wound

Care