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Shock wave therapy coding

Corinne Posted Wed 06th of June, 2012 19:49:25 PM


SuperCoder Answered Wed 06th of June, 2012 20:01:31 PM

Category III code 0019T, extracorporeal shock wave therapy; involving musculoskeletal system,remains non-covered as investigational, based on the lack of literature support for such treatment.

Extracorporeal shock wave therapy (ESWT) is a noninvasive treatment that involves delivery of shock
waves to the painful region with the objective of reducing pain and promoting healing of the affected
soft tissue. The shock waves for orthopedic indications are the same as those used to break up kidney
stones, but have 10 times less energy.
Orthopedic indications for ESWT, called orthotripsy when used in an orthopedic setting, include localized, painful musculoskeletal conditions such as plantar fasciitis associated with calcaneus bone spurs. In this situation, ESWT serves as an alternative to surgery for patients with chronic heel pain that has not responded to conservative therapy. Other chronic orthopedic conditions for which ESWT has been proposed include epicondylitis humeri (tennis and golfer elbow), calcifying tendonitis in the shoulder (specifically rotator cuff), and promotion of bone healing in delayed and nonunion fractures.ESWT also has been used in experimentally to mobilize the cement used for total hip arthroplasty,since removal of the cement is a major impediment to replacement of a failed prosthesis.

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