__________________COUNTY PHYSICAL THERAPY PROGRESS NOTES/LOGS BEGINNING DATE: ENDING DATE: I Date Time Time IEP Proc. Activity/Progress mm/dd/yy In Out Objective Code Signature: Date Time Time IEP Proc. Activity/Progress mm/dd/yy In Out Objective Code Signature: Date Time Time IEP Proc. Activity/Progress mm/dd/yy In Out Objective Code Signature: Date Time Time IEP Proc. Activity/Progress mm/dd/yy In Out Objective Code Signature: Billing Code Procedure 15 minute units Billing code – 97001 Therapy Evaluation (one per year) 97116 GP Gait Training (stair climbing, etc.) 97002 Therapy Re-evaluation (one per 6 mo) 97150 GP Therapeutic procedure(s), group (2 or more)-billed by session 97110 GP Therapeutic exercises 97530 GP Therapeutic activities, direct (one on one) 97112 GP Neuromuscular Reeducation 97532 GP Development of cognitive skills, direct (one on one) 97113 GP Aquatic therapy with therapeutic exercises 97533 GP Sensory integrative techniques, direct (one on one) Future Goal: (please circle one) A. Continue IEP until completion date B. Reconvene IEP Team to address change
__________________COUNTY PHYSICAL THERAPY PROGRESS NOTES/LOGS BEGINNING DATE: ENDING DATE: I Date mm/dd/yy Time In Time Out IEP Objective Proc. Code Activity/Progress Signature: Date mm/dd/yy Time In Time Out IEP Objective Proc. Code Activity/Progress Signature: Date mm/dd/yy Time In Time Out IEP Objective Proc. Code Activity/Progress Signature: Date mm/dd/yy Time In Time Out IEP Objective Proc. Code Activity/Progress Signature: Billing Code Procedure – 15 minute units Billing code 97001 Therapy Evaluation (one per year) 97116 GP Gait Training (stair climbing, etc.) 97002 Therapy Re-evaluation (one per 6 mo) 97150 GP Therapeutic procedure(s), group (2 or more)-billed by session 97110 GP Therapeutic exercises 97530 GP Therapeutic activities, direct (one on one) 97112 GP Neuromuscular Reeducation 97532 GP Development of cognitive skills, direct (one on one) 97113 GP Aquatic therapy with therapeutic exercises 97533 GP Sensory integrative techniques, direct (one on one) Future Goal: (please circle one) A. Continue IEP until completion date B. Reconvene IEP Team to address change
pt_documentation_notes.docx