4242F Sprvsd xrcz back pn >12 wks
Performance measure documenting patient received supervised exercise or rehabilitation program for back pain management for greater than 12 weeks.
Clinical Context
Quality measure for subacute or chronic low back pain confirming sustained participation in supervised exercise rehabilitation programs.
RVU Information
CPT 4242F 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 4242F?
CPT 4242F (Sprvsd xrcz back pn >12 wks) is a Other code. Performance measure documenting patient received supervised exercise or rehabilitation program for back pain management for greater than 12 weeks.
Who uses CPT code 4242F?
CPT 4242F is used by Physical Medicine and Rehabilitation, Quality Measures. Quality measure for subacute or chronic low back pain confirming sustained participation in supervised exercise rehabilitation programs.
When is CPT 4242F used?
Quality measure for subacute or chronic low back pain confirming sustained participation in supervised exercise rehabilitation programs.
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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.