Falls Evaluation

Falls Evaluations are components of existing quality improvement efforts for Medicare Part A providers.

Palmetto GBA has included V15.88 (history of falls) in the final policy to reflect this potential. While claims containing V15.88 would still require the addition of another covered ICD-9-CM code to specify the impairment of structure/function and/or activity limitation (e.q., ICD-9-CM 438.4 monoplegia of lower limb; ICD-9-CM 781.2 abnormality of gait), inclusion of the V15.88 code will help communicate the coverage available and help promote communication of reasonable and necessary physical therapy and/or occupational therapy interventions.

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