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 2023 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.

Key Features and Benefits

·       Optum Edge — Co-produced 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 quick and efficient.

·       ICD-10-CM code icons – Icons identify 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 edits and 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 modifier usage.

·       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 provide a better understanding of therapy services.

·       CCI edits. CCI Edits for CPT^® and HCPCS procedure codes are included with quarterly updates available online at Optumcoding.com Product Update / Support page.

CPT^® is a registered trademark of the American Medical Association.