1135F Epsd bk pain for >6 wks
Also known as: chronic back pain code
Documentation of episode of back pain for greater than 6 weeks. This performance measure code indicates chronic or subacute back pain presentation.
Clinical Context
Used to document that back pain has persisted for more than 6 weeks, indicating chronic presentation.
RVU Information
CPT 1135F does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
Documentation should include the clinical indication, service details, and any applicable performance metrics. Coverage may vary by payer — verify acceptance before billing.
Specialties
Frequently Asked Questions
What is CPT code 1135F?
CPT 1135F (Epsd bk pain for >6 wks) is a Other code. Documentation of episode of back pain for greater than 6 weeks. This performance measure code indicates chronic or subacute back pain presentation.
Who uses CPT code 1135F?
CPT 1135F is used by Orthopedic Surgery, Pain Management, Primary Care. Used to document that back pain has persisted for more than 6 weeks, indicating chronic presentation.
When is CPT 1135F used?
Used to document that back pain has persisted for more than 6 weeks, indicating chronic presentation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.