Falls are the leading cause of fatal and non-fatal injures for older Americans.
One of the top barriers to delivery of a falls risk assessment in the clinical setting is lack of a dedicated Current Procedural Terminology (CPT) code for these services.
Falls-related services may be reimbursable by Medicare or through negotiation with private plans. Use this flyer to find CPT codes when counseling patients.
A barrier to delivery of falls risk assessments in clinical settings is the lack of a dedicated Current Procedural Terminology (CPT) code for this service. However, providers are able to counsel their patients regarding falls risk and bill payers using existing Evaluation and Management (E/M) CPT codes.
This downloadable resource provides detail on which CPT codes to use for falls assessment and intervention. Information about falls-related quality indicators as a means to incentivize providers to conduct falls prevention activities is also included on the resource.