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Code AMA Long Description 420 PHYSICAL THERAPY 421 PHYSICAL THERAPY: VISIT CHARGE 422 PHYSICAL THERAPY: HOURLY CHARGE 423 PHYSICAL THERAPY: GROUP RATE 424 PHYSICAL THERAPY: EVALUATION/RE-EVALUATION 429 PHYSICAL THERAPY: OTHER PHYSICAL THERAPY 430 OT General 431 OT Visit Code 432 OCCUPATIONAL THERAPY: HOURLY CHARGE 433 OCCUPATIONAL THERAPY: GROUP RATE 434 OCCUPATIONAL THERAPY: EVALUATION/RE-EVALUATION 439 OCCUPATIONAL THERAPY: OTHER OCCUPATIONAL THERAPY
28520 Strapping, hip
29105 Application of long arm splint(shoulder to hand) 29125 Application of short arm splint (forearm to hand), static
29126 Application of short arm splint (forearm to hand), dynamic 29130 Application of finger splint, static
29131 Application of finger splint, dynamic 29200 Strapping; thorax
29220 Strapping, thorax 29240 Strapping; shoulder (eg, Velpeau)
29260 Strapping; elbow or wrist 29280 Strapping; hand or finger
29520 Strapping; hip 29530 Strapping; knee
29540 Strapping; ankle and/or foot 29550 Strapping; toes
90911 Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMGand/or manometry
95831
Muscle testing, manual (separate procedure) with report; extremity (excluding hand) or trunk
95832
Muscle testing, manual (separate procedure) with report; hand, with or without comparison with normal side
95833 Muscle testing, manual (separate procedure) with report; total evaluation of body,excluding hands
95834 Muscle testing, manual (separate procedure) with report; total evaluation of body, including hands
95851
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine)
95852 Range of motion measurements and report (separate procedure); hand, with or withoutcomparison with normal side
97001 Physical therapy evaluation
97002 Physical therapy re-evaluation 97003 Occupational therapy evaluation
97004 Occupational therapy re-evaluation
Specialty Therapy Services
97010 Application of a modality to 1 or more areas; hot or cold packs
97012 Application of a modality to 1 or more areas; traction, mechanical 97014 Application of a modality to 1 or more areas; electrical stimulation (unattended)
97016 Application of a modality to 1 or more areas; vasopneumatic devices 97018 Application of a modality to 1 or more areas; paraffin bath
97020 Microwave 97022 Application of a modality to 1 or more areas; whirlpool
97024 Application of a modality to 1 or more areas; diathermy (eg, microwave) 97026 Application of a modality to 1 or more areas; infrared
97028 Application of a modality to 1 or more areas; ultraviolet
97032
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes 97033 Application of a modality to 1 or more areas; iontophoresis, each 15 minutes 97034 Application of a modality to 1 or more areas; contrast baths, each 15 minutes
97035 Application of a modality to 1 or more areas; ultrasound, each 15 minutes 97036 Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes
97039 Unlisted modality (specify type and time if constant attendance)
97110
Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
97112
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities
97113
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises
97116
Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) 97139 Unlisted therapeutic procedure (specify)
97140
Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes 97150 Therapeutic procedure(s), group (2 or more individuals)
97530
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes
97532 Development of cognitive skills to improve attention, memory, problem solving (includescompensatory training), direct (one-on-one) patient contact, each 15 minutes
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one- on-one contact, each 15 minutes 97542 Wheelchair management (eg, assessment, fitting, training), each 15 minutes
97750
Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes 97545 Work hardening /conditioning; initial 2 hours
92597 Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech
92605
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour
92606 Therapeutic service(s) for the use of non-speech-generating device, includingprogramming and modification
92607 Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour
92608
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)
92609 Therapeutic services for the use of speech-generating device, including programming and modification 92610 Evaluation of oral and pharyngeal swallowing function
92611 Motion fluoroscopic evaluation of swallowing function by cine or video recording
92612 Flexible fiberoptic endoscopic evaluation of swallowing by cine or video recording;
92613 Flexible fiberoptic endoscopic evaluation of swallowing by cine or video recording;interpretation and report only
92614 Flexible fiberoptic endoscopic evaluation, laryngeal sensory testing by cine or video recording;
92615
Flexible fiberoptic endoscopic evaluation, laryngeal sensory testing by cine or video recording; interpretation and report only
92616 Flexible fiberoptic endoscopic evaluation of swallowing and laryngeal sensory testing bycine or video recording;
92617 Flexible fiberoptic endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only
92618
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)
Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour
96110 Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument
Developmental testing, (includes assessment of motor, language, social, adaptive, and/or cognitive functioning by standardized developmental instruments) with interpretation and report
Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report
97124
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)
97140 Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage,manual traction), 1 or more regions, each 15 minutes
97810 Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient
Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary procedure)
97813 Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes ofpersonal one-on-one contact with the patient
Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary procedure)
97124 Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage,petrissage and/or tapotement (stroking, compression, percussion)
97026 Application of a modality to 1 or more areas; infrared
97110 Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises todevelop strength and endurance, range of motion and flexibility
97139 Unlisted therapeutic procedure (specify)
97140
Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes
95831 Muscle testing, manual (separate procedure) with report; extremity (excluding hand) ortrunk
95832 Muscle testing, manual (separate procedure) with report; hand, with or without comparison with normal side
95833
Muscle testing, manual (separate procedure) with report; total evaluation of body, excluding hands
95834 Muscle testing, manual (separate procedure) with report; total evaluation of body,including hands
95851 Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine)
95852
Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side 97001 Physical therapy evaluation 97002 Physical therapy re-evaluation
97003 Occupational therapy evaluation 97004 Occupational therapy re-evaluation
97010 Application of a modality to 1 or more areas; hot or cold packs 97012 Application of a modality to 1 or more areas; traction, mechanical
97014 Application of a modality to 1 or more areas; electrical stimulation (unattended) 97016 Application of a modality to 1 or more areas; vasopneumatic devices
97018 Application of a modality to 1 or more areas; paraffin bath 97022 Application of a modality to 1 or more areas; whirlpool
97024 Application of a modality to 1 or more areas; diathermy (eg, microwave) 97026 Application of a modality to 1 or more areas; infrared
97028 Application of a modality to 1 or more areas; ultraviolet
97032
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes 97033 Application of a modality to 1 or more areas; iontophoresis, each 15 minutes 97034 Application of a modality to 1 or more areas; contrast baths, each 15 minutes
97035 Application of a modality to 1 or more areas; ultrasound, each 15 minutes 97036 Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes
97039 Unlisted modality (specify type and time if constant attendance)
Occupational therapy evaluation, moderate complexity, requiring these components: an occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional preformance; an assessment(s) that identifies 3-5 performance deficits (ie relating to physical, cognitive, or psychosocial skils) that result in activity limitations and/or participation restrictions; and clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 45 minutes are spent face-to-face with patient and/or family.
Occupational therapy evaluation, moderate complexity, requiring these components: an occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional preformance; an assessment(s) that identifies 5 or more performance deficits (ie relating to physical, cognitive, or psychosocial skils) that result in activity limitations and/or participation restrictions; and clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable completion of evaluation component. Typically, 60 minutes are spent face-to-face with patient and/or family.
97168 Occupational therapy re-evaluation
97530 Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes
97760
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes 97761 Prosthetic training, upper and/or lower extremity(s), each 15 minutes
97762 Checkout for orthotic/prosthetic use, established patient, each 15 minutes 98942 Chiropractic manipulative treatment (CMT); spinal, 5 regions
98943 Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions
97750
Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes 98940 Chiropractic manipulative treatment (CMT); spinal, 1-2 regions
98941 Chiropractic manipulative treatment (CMT); spinal, 3-4 regions
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other thanwound care, as part of a therapy plan of care
