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- Group therapy procedures involve constant attendance of the physician or other qualified health care professional
- Does not require one on one patient contact by the same physician or other qualified health care professional
- Un timed
- Patients need not be performing the same activity
- No limit of participants
Therapeutic procedures, group (2 or more individuals) -- 97150
Effleurage, petrissage, and/or tapotement (stroking, compression, percussion)
Massage 97124
- Initial 2 hours
- 97546 each additional hour
- Specific to work hardening program
Work hardening/conditioning -- 97545
- Communication between healthcare and insurance providers
- Minimum: patient ID, date, and therapist signature, current tests and measures with functional level and assessment
- Written when change in patients condition - improvement or decline
- Insurance and department policy on timing
Progress note
- IRF
- LTACH
- SNF
- HHPT
- Home with 24 hour supervision
- Outpatient
- Homeless shelter/salvation army/community resources
- ALF
- ILF
Discharge possibilities
Movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities (EX: baps board, trampoline, swiss ball, body blade, PNF, NDT)
Neuromuscular re-education 97112
- Mobilization/manipulation, manual lymphatic drainage, manual traction
- Soft tissue mobilization, myofascial release, serial compression bandaging, joint mobilizations
- Each 15 mins - one or more regions
Manual therapy techniques -- 97140
EX: shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment
- Direct one on one contact , each 15 mins
Community/work reintegration training -- 97537
Measurements and therapeutic techniques/interventions used during session
Objective
- Patients condition at time of discharge
- Goal attainment or reason for not attaining
-Typically performed on same day as last visit
- D/C plan
- Home program
- Referrals
- Follow up recommendations for PT
- Family and caregiver education/training
- Equipment provided
- Patient requires new evaluation to return after discharge
Discharge summary
- Use of dynamic activities to improve functional performance, each 15 mins
- Lifting, carrying, pushing, pulling, pinching, grasping, crawling, climbing, lunging, throwing, catching, jumping, car transfers, overhead activities, simulation of functional activities
- May also include bed mobility and transfer training - involves the use of functional activities to restore functional performance in a progressive manner
- Direct (one on one) patient contact
- Pays about $9 to $10 more than therapeutic exercise
- May not be able to charge same day as OT
Therapeutic activities -- 97530
To develop strength, endurance, ROM, and flexibility
Ther ex 97110
- To enhance processing and promote adaptive responses to environmental demands, direct
- One on one patient contact by the provider, each 15 mins
- Examples when to use: feeding intolerance, tactile intolerance, sensory defensiveness, attention difficulties, over reactivity to environmental stimuli and auditory integration therapy
- Not typically covered by PT
Sensory integrative techniques -- 97533
Patient communicates to therapist, social or medical history, patient complaints
Subjective
Therapeutic interventions that focus on cognitive function (EX: attention, memory, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (EX: managing time or schedules, initiating, organizing, and sequencing tasks), direct (one on one) patient contact
- Untimed
97127
- EX: ADLs and compensatory training, meal preparation, safety procedures, and instruction in use of adaptive equipment
- Direct one on one contact, each 15 mins
- Examples could include bathing, grooming, dressing, personal hygiene, basic household cleaning and chores, cooking, using appliances, medication management
- May not be covered by all insurances for PT
Self care/home management training -- 97535
- Assessment, fitting, training
- Each 15 mins
- Assessment includes, but is not limited to
- Documentation of the event that necessitates the need for the WC
- Determination of the patients need for a WC and type of WC required
- Patients strength and ROM, endurance, sensation, pain, edema, tone, skin integrity, sitting balance, standing balance, transfer ability
- Testing the patients ability with various chair functions
- Also includes determining type of seat cushion, back support, head/neck support, armrests, leg rests, brake extensions, anti-tips
- Training the patient/family in the use of the WC
Wheelchair management -- 97542
Professional opinion. Progress/change in status and why. Need for therapy
Assessment
- MSK, functional capacity with written report
- Each 15 mins
- TUG, Tinetti, BERG, DGI, isokinetic/isometric muscle testing, performance oriented mobility assessment, four square step test, fullerton advanced balance scale, purdue pegboard test
- Includes the time required to analyze and interpret the resulting data while the patient is present
- Intended to focus on patient performance of a specific activity or group of activities
- Not covered with an evaluation on the same day
- Reports - a separate and distinctly identifiable, signed written report when billing this; should document the problem requiring the test, specific test performed, and include the providers interpretation of the results
Physical performance test or measurement -- 97750
- Unlisted physician medication or rehabilitation service or procedure
- EX: dry needling
- Something new or experimental that you want to be a code
- A code for something that does not have an existing code
97799
- EX: to restore, augment, or compensate for existing function, optimize functional tasks, and/or maximize environmental accessibility
- Direct one on one contact, with written report, each 15 mins
- Coverage is specifically for assessment of mobility, seating and environmental control systems that require high level adaptations, not for routine seating and mobility systems
Assistive technology assessment -- 97755
Ideas for future sessions, timing of future sessions and discharge, future frequency and duration
Plan