Date of next visit, if necessary 6. Progress notes If a final report is required it must include information concerning the attainment of maximum medical improvement, permanency rating and referral information if necessary. This report will be paid at the appropriate level 4 rate. CPT code 99455 should not be used. Any other information prior to the date of loss or not related to the same body part will require the patient's written consent.
Proper documentation is required for all visits.
Any disputes regarding bill coding will be resolved using the guidelines of the HCFA Correct Coding Committee. The initial evaluation will be coded 97001 or 97003. Codes 97002 and 97004 are to be used at the end of a treatment plan in determining any future course of action. See Memorandum No.