The Coding and Payment Guide for the Physical Therapist is your one-stop coding, reimbursement and documentation resource developed exclusively for physical therapy. Co-produced with the American Physical Therapy Association, this comprehensive and easy-to-use guide is updated for 2021 and organized by specialty-specific CPT® codes. Each code includes its official code description and lay description, coding tips, documentation and reimbursement tips, Medicare edits, and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.
FEATURES
- Optum360 Edge—Co-produced with APTA. The only resource for the physical therapist produced with the American Physical Therapy Association.
- NEW – ICD-10-CM code icons. Icons identifying male- and female-only codes, as well as age-related and laterality diagnosis codes.
- Procedure code icons. Quickly identify new, revised and add-on procedure codes, making your coding process quick and efficient.
- CPT® Assistant references. Identify that an article or discussion of the CPT® code has been in the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct volume.
- Quickly find information. All the information you need is provided, including CPT® full code descriptions, lay descriptions, coding tips, procedure code-specific documentation and reimbursement tips, clinical terms, Medicare Internet Only Manual (IOM) references, CPT® Assistant references, and commonly associated ICD-10-M diagnosis codes.
- Avoid claim denials and/or audits. Medicare payer information includes references from IOM guidelines, follow-up days and assistant-at-surgery and modifier usage.
- CCI edits. Includes section with CCI Edits for CPT® and HCPCS procedure codes with quarterly updates available online.
- Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with total RVUs for non-facility and facility for CPT® codes are included.
- Helpful illustrations. Detailed illustrations for a better understanding of therapy services.
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