With the right and proper physical therapy coding, you will be able to come up with a perfect type of physical therapy business. This holds true when it comes to the different aspects that will greatly affect the flow of the business such as in billing, scheduling, and other things that have something to do with the entirety of the physical therapy business. Physical therapy coding can be in a way tricky but the proper use of such coding will definitely affect your business reimbursements. These codes are only seen when it is medically necessary.
The physical therapy coding services coverage are generally based on the condition of the patient and his medical diagnosis. Take note that there are times that the diagnosis of the patient can become different from that of a referring doctor. The care plan and its duration should also be well-determined so as to come up with the right and proper physical therapy coding.
Now, the physical therapist under Medicare isn’t covered unless the referring doctor says that the physical therapy coding services should be medically implemented for the benefit of the patient who is a Medicare beneficiary. The doctor should provide a treatment plan that was written by him and that the physical therapy coding should be monitored and reviewed every thirty days. This should be re-certified given that the patient needs to continue physical therapy procedures.
Physical Therapy Coding for Evaluation
- Code 97001 – PT Evaluation
- Code 97002 – PT Re-Evaluation
Physical Therapy Coding Therapeutic Procedures
- Code 97110 - this entails therapeutic procedures in one or more specific areas, each fifteen minutes, exercises or workouts aims to develop endurance and strength, flexibility, and motion range
- Code 97112 – this is for gait training and also includes climbing the stair
- Code 97124 – for different types of massage procedures like tapotement, petrissage, and effleurage
- Code 97140 – manual therapy procedures and techniques which include manipulation or mobilization, manual traction and lymphatic drainage in one or more areas of the body, done in every fifteen minutes
- Code 97150 – therapeutic procedures for two or more persons
Physical Therapy Coding Common Mistakes
- In the case of billing, Code 97110 is entered three times in the claim form’s line
- Improper or incorrect reporting of the number physical therapy coding units and services
- Devoid of referring doctor info on the patient’s claim form
- Poor physical therapy documentation
All of these things should be highly considered when aiming to make use of physical therapy coding for physical therapy patients.