CAM 80307

Back School

Category:Therapy   Last Reviewed:August 2018
Department(s):Medical Affairs   Next Review:August 2999
Original Date:November 1996    

Description:
Back school is behavior training for the prevention and treatment of back problems arising from faulty body posture and muscular dysfunction. Back school is often used as an adjunct to other therapy. Prevention teaches the practice of proper body mechanics, including exercises and how to lift. Treatment includes spinal manipulative therapy and physical therapies.


Policy:
Back school is considered NOT MEDICALLY NECESSARY for the prevention and treatment of back pain.


References:

  1. Jeff Baker, Ph.D. - Medical Director. Kim Garges, M.D., E. Burke Evans, M.D., Chair. Spine Clinic, UTMB, Spine Psychology/Pain Management Program Department of Orthopedic Surgery & Rehabilitation.
  2. Patrick Loisel, M.D., FRCSC. Fighting Back Pain to Prevent Chronicity.

Coding Section

Codes Number Description
CPT   No Code
ICD-9 Procedure   No Code
ICD-9 Diagnosis   Not medically necessary for all diagnoses
HCPCS S9117 Back school, per visit
ICD-10-CM (effective 10/01/15)   Not medically necessary for all diagnoses
ICD-10-PCS (effective 10/01/15)   ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this program.
Type of Service Rehabilitation Therapy  
Place of Service Outpatient  

Procedure and diagnosis codes on Medical Policy documents are included only as a general reference tool for each policy. They may not be all-inclusive. 

This medical policy was developed through consideration of peer-reviewed medical literature generally recognized by the relevant medical community, U.S. FDA approval status, nationally accepted standards of medical practice and accepted standards of medical practice in this community, Blue Cross and Blue Shield Association technology assessment program (TEC) and other non-affiliated technology evaluation centers, reference to federal regulations, other plan medical policies and accredited national guidelines.

"Current Procedural Terminology© American Medical Association.  All Rights Reserved" 

History From 2014 Forward     

08/28/2018 

Annual review, no change to policy intent. 

08/23/2017 

Annual Review. No change in policy intent. 

08/09/2016 

Annual review, no change to policy intent. 

08/12/2015

Annual review, no change to policy intent. Added coding.

08/04/2014

Annual review. No changes made.


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