Pauline Posted Tue 27th of March, 2012 18:38:21 PM
I'm finding various deffinitions for these codes. Could you explain the various procedures that would apply to each of these codes?
What type of exercises/activities apply to
97530 and which exercises/activities apply to
SuperCoder Answered Tue 27th of March, 2012 20:02:20 PM
Neuromuscular reeducation 97112: Provided to improve balance, coordination, kinesthetic sense, posture and proprioception. Be aware this therapy is was initially designated for rehabilitation following stroke, surgery, fracture, etc., where the motor system needs to be re-patterned for normal activities. It also includes poor static or dynamic sitting/standing balance, loss of gross or fine motor coordination, and hypo-/hypertonicity of soft tissue. There usually is a form of repeated active movements under a variety of mechanical conditions. Examples include proprioceptive neuromuscular facilitation, Janda, Feldenkrais, Bobath, Alexander and cross crawl. Balance boards and similar equipment could be documented under this code. This service is typically not listed specifically under the scope of practice for acupuncture but may be interpreted and used under "exercise or rehabilitation."
Therapeutic activities 97530: This is a direct (one-on-one) procedure for dynamic activities to improve functional performance. Dynamic activities would involve repetitive movement or activities such as bending, lifting, reaching, carrying, catching, overhead activities and/or transfers. A progressive protocol is typical, increasing length and intensity of the activities. This service is typically not listed specifically under the scope of practice for acupuncture but may be interpreted and used under "exercise or rehabilitation."
Note the codes 97112, and 97530 are 15-minute codes and all documentation of those services should include the time spent with each service.