AMA CPT® Assistant - 2015 Issue 6 (June)
Medicine: Physical Medicine and Rehabilitation (Q&A) (June 2015)
June 2015 page 11a Medicine: Physical Medicine and Rehabilitation Question: May code 97542, Wheelchair management (eg, assessment, fitting, training), each 15 minutes, be reported when car seat - evaluation services are performed for a patient with developmental and cognitive delays, who has outgrown current car-seat recommendations and specifications? The car-seat evaluation includes assessing and reviewing a patient's motor strength, range of motion (ROM), activities of daily living (ADL), etc. Answer: No, code 97542 may not be used to report car seat - evaluation services. A car seat is for protection from forces that may impact the individual in the...
Subscribe or sign in to view the full article.
Article Overview
This article discusses a coding question in physical medicine and rehabilitation involving car-seat evaluation services for a patient with developmental and cognitive delays. It explains the general service categories involved, references the relevant CPT framework, and places the topic in the context of evaluation, training, and home-management-related therapy services. The piece is useful for therapists, rehabilitation coders, and billing staff who need to understand how this type of service is framed within CPT guidance.
Why This Topic Matters
Accurate categorization of rehabilitation and therapy services affects compliant reporting and helps avoid misclassification of specialized evaluations and training.
Article Sections
-
June 2015 page 11a
A brief question-and-answer discussion from a June 2015 CPT Assistant page covering a rehabilitation coding scenario and related therapy service categories.
What You Will Learn
- How the article frames a car-seat evaluation within physical medicine and rehabilitation coding.
- Which broad CPT service categories are discussed in connection with evaluation and training activities.
- How the article positions related therapy services in a rehabilitation context.
- intended_audiences":["Physical therapists","Rehabilitation coders","Medical billers","Coding auditors","Practice managers"],"topics":["Physical medicine and rehabilitation","Therapy evaluation","Patient equipment assessment","Car-seat evaluation","Training services","Rehabilitation coding"],"medical_specialties":["Physical Medicine and Rehabilitation","Physical Therapy"],"code_sets":["CPT"],"codes":[{"code_set":"CPT","code":"97542"},{"code_set":"CPT","code":"97001"},{"code_set":"CPT","code":"97535"}],"code_ranges":[],"modifiers":[],"content_type":"Q&A article","effective_dates":["June 2015"],"organizations_mentioned":["CPT Assistant"],"keywords":["car seat evaluation","wheelchair management","physical therapy evaluation","self-care/home management training","developmental delays","cognitive delays"],"questions_answered":["Can wheelchair management be reported for car-seat evaluation services?","What CPT service category is associated with car-seat evaluation services?","What related therapy services are discussed for safe placement and adjustment training?"],"access_description":"Premium Find-A-Code article with a short Q&A on physical medicine and rehabilitation coding guidance from CPT Assistant.
- disclosure_check":{"contains_code_descriptions":false,"contains_modifier_descriptions":false,"contains_actionable_coding_instructions":false,"contains_article_conclusions":false,"contains_detailed_examples":false}}}
Who Should Read This
- Physical therapists
- Rehabilitation coders
- Medical billers
- Coding auditors
- Practice managers
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com
