what is a level 5 musculoskeletal procedure - SERP Analysis

https://www.aapc.com/codes/apc-codes/5115?srsltid=AfmBOopNCbJCmxmEKRvnDJ7sFK5ePNKUDOUJRzYTbKsI55fHMN8pfoQN

https://www.cms.gov/files/document/mm13784-hospital-outpatient-prospective-payment-system-october-2024-update.pdf

https://www.findacode.com/apc/5115-level-musculoskeletal-procedures-apc-code.html

https://www.merit.com/wp-content/uploads/2022/03/2022-APC-ComplexityAdjustmentVCF-BoneRFA-Guide.pdf

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Downloads/Outpatient_Methodology.pdf

https://www.federalregister.gov/documents/2023/11/22/2023-24293/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment

https://guidelines.carelonmedicalbenefitsmanagement.com/level-of-care-for-musculoskeletal-surgery-2024-01-01/

https://www.findacode.com/code-set.php?set=APC&i=50570

https://www.workforcesafety.com/sites/www/files/documents/fee-schedules/OutpatientHospital2021_1.pdf

https://www.govinfo.gov/content/pkg/FR-2025-01-13/html/2025-00081.htm

https://www.astro.org/getmedia/8ac4db0c-cd58-42bd-b693-7caa40928919/2025HOPPSFinalRuleSummary.pdf

https://www.zimmerbiomet.com/content/dam/zb-corporate/en/support/coding-guides/3578.8-US-en-Persona-IQ-The-Smart-Knee-Coding-Reference-Guide.pdf

https://www.mhanet.com/mhaimages/issue%20briefs/01-09-2025%20CY%20OPPS%20Correction%20Notice.pdf

https://manuals.health.mil/pages/DisplayManualPdfFile/2005-08-10/AsOf/TR02/C13ADA.PDF

https://downloads.regulations.gov/CMS-2024-0199-2085/attachment_1.pdf

https://www.aaos.org/globalassets/advocacy/issues/2021-opps-pr-summary_final.pdf

https://www.cdc.gov/nhsn/xls/cpt-pcm-nhsn.xlsx

https://www.ncbi.nlm.nih.gov/books/NBK559512/

https://mcweb.apps.prd.cammis.medi-cal.ca.gov/file/manual?fn=surgmuscu.pdf

https://www.aahks.org/wp-content/uploads/2024/01/AAHKS-AAOS-2024-OPPS-Final-Rule-Comment-Letter-Jan-1-2024.pdf

https://www.acgme.org/globalassets/pfassets/programresources/270_caselogguidelines_musculoskeletaloncology.pdf

https://www.federalregister.gov/documents/2024/11/27/2024-25521/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical

https://www.isass.org/wp-content/uploads/2017/12/Final-2018-OPPS-and-ASC-Rule-Spine-Codes.xlsx

https://www.medpac.gov/wp-content/uploads/2022/06/Jun22_Ch6_MedPAC_Report_to_Congress_SEC.pdf

https://www.ssa.gov/disability/professionals/bluebook/1.00-Musculoskeletal-Adult.htm

https://www.acep.org/administration/reimbursement/ed-facility-level-coding-guidelines

https://www.asha.org/siteassets/uploadedFiles/Audiology-SLP-HOPPS.pdf?srsltid=AfmBOorDof_Ow_cJZ1F5WZUHpCLOefZzz8iaDjAIfH-GNWRQjHZrarW6

https://www.merit.com/wp-content/uploads/2020/04/2020-Complexity-Adjustments-Guide-VCF-Bone-Ablation.pdf

https://guidelines.carelonmedicalbenefitsmanagement.com/wp-content/uploads/2023/11/PDF-Level-of-Care-for-Musculoskeletal-Surgery-2024-01-01-for-IALA-caid.pdf

https://aapm.org/government_affairs/CMS/documents/HOPPS2025FinalRuleSummary_11-24.pdf

https://www.homestatehealth.com/content/dam/centene/home-state-health/pdfs_2024/Spine-Surgery-Evolent%20Utilization_Home%20State.pdf

https://downloads.regulations.gov/CMS-2019-0109-3881/attachment_1.pdf

https://ereferrals.bcbsm.com/docs/common/common-msk-faq.pdf

https://www.acgme.org/globalassets/pdfs/milestones/musculoskeletalradiologymilestones.pdf

https://www.cureus.com/articles/93115-outpatient-visit-current-procedural-terminology-code-level-selection-trends-in-hand-surgery-following-criteria-changes-by-the-american-medical-association

https://www.mdclarity.com/cpt-code/20999

https://www.ncci.com/Articles/Documents/Insights-Impact-Fee-Schedule-Updates-Hospital-Outpatient-Payments.pdf

https://www.astro.org/getmedia/2305470b-b0d6-4066-b070-0d03358595a7/2025_HOPPS_Proposed_Rule_Summary.pdf

https://www.aapc.com/codes/apc-codes/5113?srsltid=AfmBOopeVFavjUve8pJiPqUwwAA84qprUanCWfhWrFoPsErinj_r-HRv

https://www.aota.org/-/media/corporate/files/advocacy/federal/coding/2025-frequently-used-ot-cpt-and-hcpcs-codes.pdf

https://www.ahd.com/free_profile/100022/Jackson_Memorial_Hospital/Miami/Florida/

https://www.dir.ca.gov/title8/5120.html

https://www.bcarev.com/wp-content/uploads/2022/08/NCCI-Musculoskeletal.pdf

https://www.aao.org/practice-management/coding/injectable-drugs

https://www.sciencedirect.com/science/article/pii/S2213398423000398

https://www.hfma.org/wp-content/uploads/2024/12/510082_CY_2025_OPPS_ASC_Final_Rule_Summary.pdf

https://www.aaos.org/globalassets/advocacy/rules/2024-opps-final-rule-chart.pdf

https://journals.stfm.org/familymedicine/2022/may/wu-2021-0414/

https://www.anesthesiallc.com/publications/cpt-codes-for-anesthesia-procedures-services

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/computer-assisted-surg-nav-musculoskeletal-procs-10012019.pdf

https://my.clevelandclinic.org/health/symptoms/musculoskeletal-pain

https://www.scribd.com/document/720601707/Chapter-4-Surgery-Musculoskeletal-System-CPT-Codes-20000-29999

https://www.aapmr.org/docs/default-source/protected-advocacy/Position-Statements/final_aapmr_ultrasound_position_statement.pdf?sfvrsn=b8c5537c_2

https://www.cgsmedicare.com/partb/mr/pdf/99285.pdf

https://www.dol.gov/sites/dolgov/files/OWCP/regs/feeschedule/fee/feejune302021/EffectiveJune302021-CPT_HCPCS_ADAandOWCPCodeswithRVUandConversionFactors.pdf

https://www.globusmedical.com/musculoskeletal-solutions/products-a-z/

https://medlearn.com/opps-rule-total-joint-changes-expected-to-hit-hospital-finances-hard/?srsltid=AfmBOop6UUBYzkDTrK_ebSe54EpgJ30sRYJjPZMxfK5Kuurn-LHG6r9P

https://www.hklaw.com/en/insights/publications/2024/11/cms-releases-cy-2025-opps-and-asc-final-rule

https://www.zimmerbiomet.com/content/dam/zb-corporate/en/support/coding-guides/0778.8-US-en%20Shoulder%20Coding%20Reference%20Guide.pdf

https://www.facs.org/media/3kbif4cb/cy-2024-oppsasc-proposed-rule-acs-comment-letter.pdf

https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions

https://www.definitivehc.com/resources/healthcare-insights/top-musculoskeletal-procedure-codes

https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/Practice-Management/Coding-Reimbursement-Medicare-Medicaid/Coding-Reimbursement/Evaluation-Management-Codes-Vignettes.pdf

https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/va/Forms/VA-ALL-WEBP-20022-21-NIA-Spine-Surgery-UM-Review-Matrix-2021-FINAL_508c.pdf

https://www.superiorhealthplan.com/content/dam/centene/Superior/Provider/PDFs/SHP_202310497B-NIA-SHP-MSK-Surg-FAQ-P-508-12062023.pdf

https://www.srs.org/Education/Coding--Reimbursement

https://nap.nationalacademies.org/read/25662/chapter/7

https://bjsm.bmj.com/content/54/2/79

https://www.law.cornell.edu/cfr/text/38/4.71a

https://oascahps.org/OAS_CY2025FinalRule.pdf

https://www.mdanderson.org/content/dam/mdanderson/documents/patients-and-family/becoming-our-patient/planning-for-care/74-6001118_MD%20Anderson%20Cancer%20Center_StandardCharges.csv

https://www.aha.org/system/files/content/17/2018-opps-asc-final-rule-nov-2017-hpa-summary.pdf

https://files.providernews.anthem.com/2518/PDF-Level-of-Care-2023-11-05.pdf

https://www.ecfr.gov/current/title-38/chapter-I/part-4/subpart-B/subject-group-ECFRd3005f7d828ea7b/section-4.71a

https://academic.oup.com/painmedicine/article/22/11/2597/6263844

https://www.bcbsri.com/providers/sites/providers/files/policies/2021/05/2021%20Chiropractic%20Services.pdf

https://calhospital.org/wp-content/uploads/2023/08/CHA-CY-2024-OPPS-Proposed-Rule-Summary-Final-8.10.2023.pdf

https://wtcs.pressbooks.pub/nursingskills/chapter/13-4-musculoskeletal-assessment/

https://www.bcbst.com/docs/providers/Musculoskeletal/commercial-msk-procedure-pain-management-codes.pdf

https://www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/reports/jun13_ch02_appendix.pdf

https://www.abos.org/certification/part-ii/case-lists/procedures-not-to-include/

https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-24243.pdf

https://www.kumc.edu/Documents/fshd/ManualMuscleTesting.pdf

https://www.plasticsurgery.org/documents/medical-professionals/health-policy/HHS_CY2020-OPPS-ASC-Final-Rule-Side-by-Side.pdf

https://hub.jhu.edu/at-work/2017/12/15/medical-coding-musculoskeletal-systems/

https://www.ahd.com/sample/outpatient.html

https://www.medmutual.com/For-Providers/CorporateMedicalPolicies/Breast-Cancer-Screening-and-Diagnostic-Procedures.aspx

https://www.milbank.org/wp-content/uploads/2024/03/Grouping-Outpatient-Hospital-Claims-for-Utliization-and-Spending-Trend-Analyses.pdf

https://www.providencehealthplan.com/-/media/providence/website/pdfs/providers/medical-policy-and-provider-information/medical-policies/mp376.pdf

https://quizlet.com/827880339/case-studies-chapter-06-musculoskeletal-system-cpt-codes-flash-cards/

https://www.healio.com/news/orthopedics/20210809/changes-in-policy-protocols-advance-outpatient-surgery

https://www.cdc.gov/nchs/data/nhsr/nhsr102.pdf

https://www.ssa.gov/disability/professionals/bluebook/101.00-Musculoskeletal-Childhood.htm

https://www.sciencedirect.com/topics/medicine-and-dentistry/musculoskeletal-surgery

https://www.mdclarity.com/cpt-code/20985

https://orthosurgery.ucsf.edu/interventional-spine-and-musculoskeletal-medicine-fellowship

https://journals.lww.com/jbjsreviews/fulltext/2020/07000/coding_basics_and_guidelines_for_musculoskeletal.14.aspx

https://www.medicalbillgurus.com/cpt-code-99205/

https://www.asha.org/practice/reimbursement/medicare/slp_coding_rules/?srsltid=AfmBOooXsE8E0RIGsXkJQWmCjLhijYTjf1HU32ZljOWLv_hIVfa_I2Xo