The American Medical Association developed the Current Procedural Terminology (CPT®), which is “the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programs.” According to the American Physical Therapy Association, “when billing most third parties for services...it is ...
https://www.webpt.com/blog/post/physical-therapy-billing-beginners-part-1
PTs can use 97001 (Physical therapy evaluation) to report their initial evaluation of the patient which should occur before either the PT or the physician establishes the plan of care. OTs should use 97003 (Occupational therapy evaluation). The physical therapy evaluation which normally pays about $70 returns higher payments than a doctor's E/M services which pay about $30 to $40 for 99212 (Office or other outpatient visit for the E/M of an established patient ...).
https://www.supercoder.com/coding-newsletters/my-physical-medicine-rehab-coding-alert/re-evaluate-97001-97004-to-revamp-reimbursement-article
CPT 97002 and 97004: Use Them Sparingly. For re-evaluation services PTs can report 97002 (Physical therapy re-evaluation) and OTs can report 97004 (Occupational therapy re-evaluation) as long as the therapist uses the time spent to evaluate a change in the patient's condition.
https://www.supercoder.com/coding-newsletters/my-physical-medicine-rehab-coding-alert/re-evaluate-97001-97004-to-revamp-reimbursement-article
Unique evaluation and re-evaluation codes are used for physical therapists. (CPT codes 97001 and 97002) and occupational therapists (CPT codes 97003 and 97004). Modalities—CPT defines supervised and constant attendance modalities as “any physical.
http://karenzupko.com/wp-content/uploads/article_AAOSN_Nov2010_TherapyBillingForBeginners_SW.pdf
ABBREVIATIONS: BR = by report (i.e., report is needed to establish fee), CPT = Current Procedural Terminology, FAC = services were performed in a facility setting, FUD = follow-up days (i.e., number of days in global period), NA = no allowance, OFF = services were performed in physician office setting, PC (26) = professional component, PER AGM = per ...
http://www.ic.nc.gov/ncic/pages/90000.htm
Service-based (supervised or untimed) CPT codes: These are the codes you’d use for things like conducting a physical therapy evaluation or applying hot/cold packs. For these types of services, it doesn’t matter if you complete the treatment in ten minutes or 35, because you can only bill for one code.
https://www.webpt.com/blog/post/physical-therapy-billing-beginners-part-1
97001 (CPT) - Physical therapy evaluation. 97002 (CPT) - Physical therapy re-evaluation. 97010 (CPT) - Application of a modality to one or more areas; hot or cold packs. 97012 (CPT) - Physical Therapy: traction, mechanical. 97014 (CPT) - Application of a modality to one or more areas; electrical stimulation (unattended)
http://www.whatismedicalinsurancebilling.org/2010/07/all-service-codes-for-physical-therapy.html
Understanding therapy CPT codes. As a first step in staff training, ask a therapist to lead a tutorial in evaluation and treatment. protocols and modality terms, ideally in the therapy space, where staff can see the tools and. equipment used. Before the tutorial, review the following physical and occupational therapy. service categories in CPT:
http://karenzupko.com/wp-content/uploads/article_AAOSN_Nov2010_TherapyBillingForBeginners_SW.pdf
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.
http://ptcodes.com/
According to the American Physical Therapy Association (APTA), the medical diagnosis you use for billing may be different from the impairment-based diagnosis you’d find in the Guide to Physical Therapist Practice. That’s part of the reason why it can be challenging to decide which ICD-9-CM code to use.
https://www.webpt.com/blog/post/physical-therapy-billing-beginners-part-1
which procedure code is used when billing an initial evaluation for physical therapy?
A procedure code 97001 is used when billing an initial evaluation for a physical therapy. When billing an initial evaluation for physical therapy, 97001 procedure code is used.