Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Providing basic physical therapy during a physician visit

henry Posted Fri 20th of December, 2019 12:00:00 PM
I am an osteopathic PM&R physician and i used to do osteopathic manipulation during my E&M visit ....However my question is i am looking to do "basic" physical therapy treatments like hot pack / cold pack tents unit / kanisio tape and show pt some excessive ...but i am doing this only with the help of my medical assistant as i dont intend to hire a therapist as i only do this occasionally when i feel a pt has some pain which can benefit from these basic modalities ....therefore is this something I can do ? and bill only 1 unit in the Physical therapy codes in addtion to my E&M ?
SuperCoder Answered Mon 23rd of December, 2019 03:22:16 AM

Hi Henry,

Under Physical Medicine and Rehabilitation Therapeutic Procedures, as per American Medical Association, codes 97010-97763 should be used to report each distinct procedure performed.

The work of the physician or other qualified health care professional consists of face-to-face time with the patient (and caregiver, if applicable) delivering skilled services. For the purpose of determining the total time of a service, incremental intervals of treatment at the same visit may be accumulated.

The meanings of terms in the Physical Medicine and Rehabilitation section are not the same as those in the Evaluation and Management Services section (99201-99350). Do not use the Definitions of Commonly Used Terms in the Evaluation and Management (E/M) Guidelines for Physical Medicine and Rehabilitation services.

Hence, E&M code(s) under Physical Medicine and Rehabilitation services can be used with the modality application (Hot/Cold Pack, TENS, etc).

Also, it is suggested to check your payer specific policy and guidelines for correct billing.

NOTE: For transcutaneous nerve stimulation [TENS], use 97014 for electrical stimulation requiring supervision only, or use 97032 for electrical stimulation requiring constant attendance.

Hope this helps!

Related Topics