John Bell underwent a workers' compensation evaluation. What is the correct report code?

John Bell underwent a workers' compensation evaluation. What is the correct report code?

• A. 25031-RT
• B. 99455
• C. 12042
• D. 99231

Answer: (B)

The correct report code for a workers' compensation evaluation is 99455. This code specifically corresponds to the evaluation and management of a patient in the context of a workers' compensation case. It encompasses the components necessary for assessing the patient's condition related to their work-related injury, which typically includes a review of the medical history, physical examination, and possibly a treatment plan. In contrast, the other options represent different types of medical procedures or evaluations. For instance, 25031-RT pertains to specific surgical procedures related to the treatment of certain conditions, while 12042 is associated with the repair of skin lacerations. The code 99231 refers to a subsequent hospital care service, which is not appropriate for a workers' compensation evaluation context. Understanding the specifics of report codes ensures that medical evaluations are accurately classified and billed, providing essential documentation for the workers' compensation processes.

The correct report code for a workers' compensation evaluation is 99455. This code specifically corresponds to the evaluation and management of a patient in the context of a workers' compensation case. It encompasses the components necessary for assessing the patient's condition related to their work-related injury, which typically includes a review of the medical history, physical examination, and possibly a treatment plan.

In contrast, the other options represent different types of medical procedures or evaluations. For instance, 25031-RT pertains to specific surgical procedures related to the treatment of certain conditions, while 12042 is associated with the repair of skin lacerations. The code 99231 refers to a subsequent hospital care service, which is not appropriate for a workers' compensation evaluation context. Understanding the specifics of report codes ensures that medical evaluations are accurately classified and billed, providing essential documentation for the workers' compensation processes.