F012GZZ – Reflex Integrity Assessment of Neurological System - Lower Back / Lower Extremity
Coding Notes
					
					Active				
			
					
					Billable, valid for HIPAA-covered transactions				
			PCS Table
| 
					 Section 
					F
					Physical Rehabilitation and Diagnostic Audiology
				 | 
			|||
| 
					 Section Qualifier 
					0
					Rehabilitation
				 | 
			|||
| 
					 Type 
					1
					Motor and/or Nerve Function Assessment
				 | 
			|||
| Body System / Region | Type Qualifier | Equipment | Qualifier | 
| 
				 
					0
					Neurological System - Head and Neck
				 
			
				
					1
					Neurological System - Upper Back / Upper Extremity
				 
			
				
					2
					Neurological System - Lower Back / Lower Extremity
				 
			
				
					3
					Neurological System - Whole Body
				 
			 | 
					
				 
					0
					Muscle Performance
				 
			 | 
					
				 
					E
					Orthosis
				 
			
				
					F
					Assistive, Adaptive, Supportive or Protective
				 
			
				
					U
					Prosthesis
				 
			
				
					Y
					Other Equipment
				 
			
				
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					0
					Neurological System - Head and Neck
				 
			
				
					1
					Neurological System - Upper Back / Upper Extremity
				 
			
				
					2
					Neurological System - Lower Back / Lower Extremity
				 
			
				
					3
					Neurological System - Whole Body
				 
			 | 
					
				 
					1
					Integumentary Integrity
				 
			
				
					3
					Coordination/Dexterity
				 
			
				
					4
					Motor Function
				 
			
				
					G
					Reflex Integrity
				 
			 | 
					
				 
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					0
					Neurological System - Head and Neck
				 
			
				
					1
					Neurological System - Upper Back / Upper Extremity
				 
			
				
					2
					Neurological System - Lower Back / Lower Extremity
				 
			
				
					3
					Neurological System - Whole Body
				 
			 | 
					
				 
					5
					Range of Motion and Joint Integrity
				 
			
				
					6
					Sensory Awareness/Processing/Integrity
				 
			 | 
					
				 
					Y
					Other Equipment
				 
			
				
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					D
					Integumentary System - Head and Neck
				 
			
				
					F
					Integumentary System - Upper Back / Upper Extremity
				 
			
				
					G
					Integumentary System - Lower Back / Lower Extremity
				 
			
				
					H
					Integumentary System - Whole Body
				 
			
				
					J
					Musculoskeletal System - Head and Neck
				 
			
				
					K
					Musculoskeletal System - Upper Back / Upper Extremity
				 
			
				
					L
					Musculoskeletal System - Lower Back / Lower Extremity
				 
			
				
					M
					Musculoskeletal System - Whole Body
				 
			 | 
					
				 
					0
					Muscle Performance
				 
			 | 
					
				 
					E
					Orthosis
				 
			
				
					F
					Assistive, Adaptive, Supportive or Protective
				 
			
				
					U
					Prosthesis
				 
			
				
					Y
					Other Equipment
				 
			
				
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					D
					Integumentary System - Head and Neck
				 
			
				
					F
					Integumentary System - Upper Back / Upper Extremity
				 
			
				
					G
					Integumentary System - Lower Back / Lower Extremity
				 
			
				
					H
					Integumentary System - Whole Body
				 
			
				
					J
					Musculoskeletal System - Head and Neck
				 
			
				
					K
					Musculoskeletal System - Upper Back / Upper Extremity
				 
			
				
					L
					Musculoskeletal System - Lower Back / Lower Extremity
				 
			
				
					M
					Musculoskeletal System - Whole Body
				 
			 | 
					
				 
					1
					Integumentary Integrity
				 
			 | 
					
				 
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					D
					Integumentary System - Head and Neck
				 
			
				
					F
					Integumentary System - Upper Back / Upper Extremity
				 
			
				
					G
					Integumentary System - Lower Back / Lower Extremity
				 
			
				
					H
					Integumentary System - Whole Body
				 
			
				
					J
					Musculoskeletal System - Head and Neck
				 
			
				
					K
					Musculoskeletal System - Upper Back / Upper Extremity
				 
			
				
					L
					Musculoskeletal System - Lower Back / Lower Extremity
				 
			
				
					M
					Musculoskeletal System - Whole Body
				 
			 | 
					
				 
					5
					Range of Motion and Joint Integrity
				 
			
				
					6
					Sensory Awareness/Processing/Integrity
				 
			 | 
					
				 
					Y
					Other Equipment
				 
			
				
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					N
					Genitourinary System
				 
			 | 
					
				 
					0
					Muscle Performance
				 
			 | 
					
				 
					E
					Orthosis
				 
			
				
					F
					Assistive, Adaptive, Supportive or Protective
				 
			
				
					U
					Prosthesis
				 
			
				
					Y
					Other Equipment
				 
			
				
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					Z
					None
				 
			 | 
					
				 
					2
					Visual Motor Integration
				 
			 | 
					
				 
					K
					Audiovisual
				 
			
				
					M
					Augmentative / Alternative Communication
				 
			
				
					N
					Biosensory Feedback
				 
			
				
					P
					Computer
				 
			
				
					Q
					Speech Analysis
				 
			
				
					S
					Voice Analysis
				 
			
				
					Y
					Other Equipment
				 
			
				
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					Z
					None
				 
			 | 
					
				 
					7
					Facial Nerve Function
				 
			 | 
					
				 
					7
					Electrophysiologic
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					Z
					None
				 
			 | 
					
				 
					9
					Somatosensory Evoked Potentials
				 
			 | 
					
				 
					J
					Somatosensory
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					Z
					None
				 
			 | 
					
				 
					B
					Bed Mobility
				 
			
				
					C
					Transfer
				 
			
				
					F
					Wheelchair Mobility
				 
			 | 
					
				 
					E
					Orthosis
				 
			
				
					F
					Assistive, Adaptive, Supportive or Protective
				 
			
				
					U
					Prosthesis
				 
			
				
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
| 
				 
					Z
					None
				 
			 | 
					
				 
					D
					Gait and/or Balance
				 
			 | 
					
				 
					E
					Orthosis
				 
			
				
					F
					Assistive, Adaptive, Supportive or Protective
				 
			
				
					U
					Prosthesis
				 
			
				
					Y
					Other Equipment
				 
			
				
					Z
					None
				 
			 | 
					
				 
					Z
					None
				 
			 | 
				
GEM Conversion to ICD-9 PCS
								Fs: 10000
								–
								
									Functional evaluation