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 2022 and
organized by specialty-specific CPT® codes. Each code includes its official 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:
- Optum 360 Edge—Coproduced with APTA. The only resource for the physical therapist produced
with the American Physical Therapy Association.
- Procedure code icons. Quickly identify new, revised, add-on, and telemedicine procedure codes,
making your coding process for procedures and E/M services quick and efficient.
- ICD-10-CM code icons. Icons identifying male and female only codes, as well as age-related and
laterality diagnosis codes.
- 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 IOM references, CPT Assistant references, and commonly associated
ICD-10-M diagnosis codes.
- 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.
- Avoid claim denials and/or audits. Medicare payer information includes references from Internet
Only Manual (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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