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We physical therapists receive compensation for our services depending on how we bill using these CPT codes. If we don’t properly bill for our services provided, we could be losing out on valuable income. This article aims to be a useful resource for any PTs using physical therapy CPT codes.
All physical and occupational therapists should get to know the following CPT categories before billing for their services. Those categories and codes include: PT evaluations (97161-97163) and OT evaluations (97165-97167), which are tiered according to complexity
Every service performed by a physical therapist (PT), occupational therapist (OT), or speech-language pathologist (SLP) requires a therapy modifier (GP, GO, GN) for claim submission. So in this scenario, you would affix the GP modifier to the claim.
The Coding and Payment Guide for Physical Therapy/Rehabilitation/ Physical Medicine is designed to be a guide to the specialty procedures classified in the CPT® book. It is structured to help coders understand procedures and translate provider narrative into correct CPT codes by combining many clinical resources into one, easy-to-use source book.
1 lut 2024 · Physical Therapists’ Guide to CPT Codes. Created and maintained by the American Medical Association, the Current Procedural Terminology (CPT) code set accounts for medical, surgical, and diagnostic services—that includes PT CPT codes. Heidi Jannenga. min read. February 1, 2024.
Physical therapy billing and coding consists of diagnosis codes (ICD-10) and treatment codes (CPT). The ICD-10 selection tells the payer “here’s the diagnosis” and the CPT code tells the payer “Here’s the treatment – and what you need to pay for”. Table Of Contents. 1 Physical Therapy CPT Codes – Everything You Need to Know.
Gain an understanding of various billing processes and options for billing for your services. Cash Practice. Physical therapists are choosing an out-of-network, or cash-based, model for their practices.