Fitting and adjustment of orthopedic devices

This code signifies an encounter for the fitting, adjustment, or checking of an existing orthopedic device. This includes prostheses, orthoses, and other external supportive or corrective appliances. The patient is typically presenting for maintenance or modification of a previously prescribed device, not for the initial injury or condition requiring the device.

Use this code when a patient visits for issues related to their orthopedic device, such as discomfort, poor fit, or a need for minor repairs or adjustments. This also applies to routine follow-up appointments to ensure proper function and fit of the device. It is appropriate when the primary reason for the visit is the device itself, rather than the underlying medical condition.

• This code is for encounters focused on the device, not the underlying condition.
• Always sequence this code as a primary diagnosis when it is the reason for the encounter.
• Consider an E/M code for the visit, as well as any applicable CPT codes for the fitting or adjustment services performed.