Re: CPT definitions and explanations

[Guest guest]

You will find them in CPT manual. The American Medical Association has one

as does Ingenics. I don't have those addresses handy but you could probably

find them on line. Please don't hesitate to call if you can't find them.

Joyce Bates

MS, CCC/SLP

Chief Operating Officer

The Summit Health & Rehab Services, Inc.

4109 Hwy 98W

P.O. Box 579

Summit, MS 39666

Phone: ext 208

Cell:

Fax:

email: jbates@...

[Guest guest]

Damon,

Our Rehabilitation Services Department purchased the 2012 Coding and Payment

Guide For the Physical Therapist. An essential coding, billing, and

reimbursement resource for the physical therapist. I ordered it through

Ingenix at www.shopingenix.com.

Therapeutic Activities, 97530, direct (one-on-one) patient contact by the

provider (use of dynamic activities to improve functional performance), each

15 minutes.

Explanation: The physical therapist uses dynamic therapeutic activities

designed to achieve improved functional performance (e.g., lifting, pulling,

bending). This code requires direct contact with the physical therapist and

can be billed in 15-minute units.

This code is time specific and is billed in 15-minute increments.

According to the CPT guidelines, this code is not reported with modifier 51

but has not been designated as a modifier 51 exempt or an add-on code in the

CPT book.

Terms to Know:

Dynamic. Manifesting motion in response to force.

Therapeutic procedure. Treatment of a pathological or traumatic condition

through the use of activities performed to treat or heal the cause or to

effect change through the application of clinical skills or services that

attempt to improve function.

Hope this helps!

Marcie Ganson, PT, DPT, MBA

Mason District Hospital

From: PTManager [mailto:PTManager ] On Behalf

Of Damon Whitfield

Sent: Tuesday, January 10, 2012 9:12 AM

To: ptmanager

Subject: CPT definitions and explanations

Group,

Can someone point me to the definitions of the various CPT codes, please? I

have a therapist asking for specifics between Therapeutic procedure and

therapeutic activity in particular.

Thanks,

Damon Whitfield, PT, ATC