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PT Codes and Billing SECRETS
PT codes and billing secrets, a step-by-step course on how to maximize reimbursement for physical and occupational therapists. First of all, it's important for you to understand the basic principle that physical therapy billing is not a science but an art. To illustrate this principle, let's look at a simple procedure of showing a patient how to perform an oblique adominal situp. If you are teaching a patient this exercise for the purpose of increasing strength and flexibility, you can bill the cpt code 97110 (therapeutic exercises). However, if you are showing the patient this exercise for the purpose of facilitating dissociative movement between the lumbar and thoracic segments thereby improving proprioception, you can bill the cpt code 97112 (neuromuscular reeducation). If you are showing the patient this exercise for the purpose of improving functional performance of getting out of bed, you can bill the cpt code 97530. So, there are a variety of ways you can bill for this procedure and depending on your intent, there is a proper cpt code to use. There is a best cpt code to use, and there is one that typically pays higher than another, depending on the insurance. This skill of knowing what codes to use and maximizing reimbursement by using the best and highest paying codes can significantly increase your reimbursement. You must, however, make sure to justify your treatment intentions and document them properly in orde to avoid scrutiny later.
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