Guest guest Posted May 16, 2012 Report Share Posted May 16, 2012 Would anyone care to comment on how they are billing for stretching, strengthening and limb management techniques, functional training, without the prosthesis, etc in a pre-prosthetic patient, e.g trans tibial? How would it change, if at all, for someone with whom you are doing all that as well as beginning actual gait training with the prosthesis? Are you using the code CPT 97761- Prosthetic training? Or are you using ther ext 97110, ther Act 9750 and Gait 97116, recognizing that using 97761 would require a -59 modifier on several of the other codes. We are getting somewhat contradictory information between the CPT definitions and our LCD for the use of 97761. I had been taught in one of my coding and billing that the prosthetic training 97761 was really inclusive of ALL those activities, even if you were not doing prosthetic training yet.- it was all pre-prosthetic. Our LCD is instructing us to use Gait training 97116 for prosthetic gait training and to use 97761 only for Pre-prosthetic ther ex and functional training. Thank you for your comments. Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2012 Report Share Posted May 16, 2012 Per CPT Assistant February 2007, prosthetic training includes preparation of the stump, strengthening of the remaining musculature, modification of prosthetic fit sing stump socks or socket liners, mobility training, use during functional activities as well as skin care and overall conditioning. Once a patient begins gait training with the prosthesis, it is appropriate to report such training with 97116. Rick Gawenda, PT President Gawenda Seminars & Consulting, Inc. www.gawendaseminars.com Check out upcoming webinars at http://www.gawendaseminars.com/index.php/current-news Subject: Prosthetic Training To: " PTManager " <PTManager > Date: Wednesday, May 16, 2012, 6:00 PM Â Would anyone care to comment on how they are billing for stretching, strengthening and limb management techniques, functional training, without the prosthesis, etc in a pre-prosthetic patient, e.g trans tibial? How would it change, if at all, for someone with whom you are doing all that as well as beginning actual gait training with the prosthesis? Are you using the code CPT 97761- Prosthetic training? Or are you using ther ext 97110, ther Act 9750 and Gait 97116, recognizing that using 97761 would require a -59 modifier on several of the other codes. We are getting somewhat contradictory information between the CPT definitions and our LCD for the use of 97761. I had been taught in one of my coding and billing that the prosthetic training 97761 was really inclusive of ALL those activities, even if you were not doing prosthetic training yet.- it was all pre-prosthetic. Our LCD is instructing us to use Gait training 97116 for prosthetic gait training and to use 97761 only for Pre-prosthetic ther ex and functional training. Thank you for your comments. Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2012 Report Share Posted May 16, 2012 Per CPT Assistant February 2007, prosthetic training includes preparation of the stump, strengthening of the remaining musculature, modification of prosthetic fit sing stump socks or socket liners, mobility training, use during functional activities as well as skin care and overall conditioning. Once a patient begins gait training with the prosthesis, it is appropriate to report such training with 97116. Rick Gawenda, PT President Gawenda Seminars & Consulting, Inc. www.gawendaseminars.com Check out upcoming webinars at http://www.gawendaseminars.com/index.php/current-news Subject: Prosthetic Training To: " PTManager " <PTManager > Date: Wednesday, May 16, 2012, 6:00 PM Â Would anyone care to comment on how they are billing for stretching, strengthening and limb management techniques, functional training, without the prosthesis, etc in a pre-prosthetic patient, e.g trans tibial? How would it change, if at all, for someone with whom you are doing all that as well as beginning actual gait training with the prosthesis? Are you using the code CPT 97761- Prosthetic training? Or are you using ther ext 97110, ther Act 9750 and Gait 97116, recognizing that using 97761 would require a -59 modifier on several of the other codes. We are getting somewhat contradictory information between the CPT definitions and our LCD for the use of 97761. I had been taught in one of my coding and billing that the prosthetic training 97761 was really inclusive of ALL those activities, even if you were not doing prosthetic training yet.- it was all pre-prosthetic. Our LCD is instructing us to use Gait training 97116 for prosthetic gait training and to use 97761 only for Pre-prosthetic ther ex and functional training. Thank you for your comments. Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 Quote Link to comment Share on other sites More sharing options...
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