2bfd02c9 51ec 4da2 af6e fdb59e630ed94/9/2012Coding and Billing forPhysical Therapy and Occupational Therapy Services-CPT Codes-97000 series-Timed Based Codes-Service Based Codes-CMS -"8" Minute RuleMODALITIESThere are 2 types of ModalitiesConstant Attendance ModalitySupervised Attendance ModalityREQUIRES
direct one-on-one provider to CONSTANT ATTENDANCE MODALITIES97032 -Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 97033 -Application of a modality to 1 or more areas; iontophoresis, each 15 minutes (cant bill for 97035 -Application of a modality to 1 or more areas; ultrasound, each 15 Modality-Bill one unit per date of service, -DOES NOT REQUIRE direct one-SUPERVISED MODALITIES-Application of a modality to 1 or more areas; hot or cold packs.-Application of a modality to 1 or more areas; -Application of a modality to 1 or more areas; electrical stimulation (unattended).(vasopneumatic device), (paraffin bath).***** CMS code -Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of PROCEDURESTime-Based one or more areas, each Require one-on-one provider to patient
4/9/2012Definition of ProviderPTAOTA*not athletic trainer, rehab aide, personal trainer, massage therapistDefinition of skilled careEndurance work on bike 15 minutes is not Sustained Activity Tolerance so patient can complete functional activity such as washing dishes is skilled careAmbulation 30 with fww is not skilled caregate and balance checking on uneven ground 4/9/2012RAC AuditsWatch your frequency and reasoning.Don't use a cookbook of 3xwk
.Instead of treating a guy with 6 PT visits at 3w2 go for 2 in a row to teach a HEP, follow up with a phone call later in the week and explain it is the clients responsibility to be compliant with the HEP and to report back for progression in a week.You dont need a PT to baby sit the ex each and every session.This is what is wrong with our practice.3 x wk with the same 20 reps or clam shells over and over progressing with an extra set or two each session.That can be done telephonically many times.If a need arises on the phone that needs to be addressed have the client come in.Explain why 8-20 reps was done, use a 1RM, don't go over 20 as the best practice states, explain how the form degrades or failure was achieved.Document pain on a scale or RPE.
Coding Presentation - Cohee 4-9 - Medical Coding - Medical Billing ...
Definition of skilled care ... shall select one appropriate CPT code (97112, 97110, 97140) to bill since each unit was performed for the same amount (webexercises.com)
11 Part B Billing Scenarios For Pts And Ots
contact (CPT codes 97110-97542); b. Any two CPT codes for modalities requiring "constant attendance" and direct one-on-one patient contact (CPT codes 97032 - 97039); (static.aapc.com)
Don't simply write gait 10' with fww and max assist.Explain the needs for the skilled professional intervention of a PT, otherwise a CNA or volunteer at the hospital can do it.
THERAPEUTIC PROCEDURES97110-Therapeutic procedure, 1 cises to develop strength and endurance, range of motion and flexibility97112-Therapeutic procedure, 1 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for si97116-Therapeutic procedure, 1 (includes stair climbing)4/9/2012Gait trainingGait is more than charting distance and the use of an assistive device, verbal cueing, and level of therapist assist.It is about stride length, gait speed, symmetry, balance, and what is occurring in the lower extremities (hip, knee, ankle) during the various phases of gait (stance and swing phases).Knee 4/9/2012Prone alternate arm/leg extensions (over ball)Pulleys-4/9/2012Therapuetic Gait training(unloading).
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