Medicine: Physical Medicine and Rehabilitation (Q&A) (June 2019)

June 2019 page 15 Medicine: Physical Medicine and Rehabilitation Question: A flexion/distraction table is used by the provider (one-on-one) to increase a patient's range of motion (ROM) and flexibility while lowering the intrathecal pressure of the intervertebral disc for at least 8 minutes of face-to-face time. To achieve this, the patient's ankles are strapped to the table, the table is then distracted, and, depending on the specific deficits identified during ROM tests, the patient is either placed passively into flexion or extension, with lateral flexion to the right or left, or rotation to the left or right, or a...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses physical medicine and rehabilitation coding questions from CPT Assistant, focusing on how to classify certain hands-on therapeutic services within CPT guidance. It is relevant to coders, billers, and rehabilitation providers who work with therapy documentation, time-based reporting, and CPT code selection. The discussion centers on broad distinctions between therapeutic exercise and manual therapy, along with related CPT parenthetical guidance.

Why This Topic Matters

Correctly identifying the appropriate CPT category for rehabilitation services affects claim accuracy and consistent reporting. The article helps readers understand how CPT Assistant frames common therapy scenarios and related code selection considerations.

Article Sections

  1. Question: Flexion/distraction table and range-of-motion service

    A coding question about a one-on-one rehabilitation service involving passive movement and table-based therapy. The section discusses how the service is characterized within CPT Assistant guidance.

  2. Question: Passive stretching/traction and myofascial release

    A second coding question involving hands-on stretching, traction, and myofascial release performed by a licensed massage therapist. The section addresses how CPT Assistant discusses related manual services and parenthetical guidance.

What You Will Learn

  • How CPT Assistant frames coding questions in physical medicine and rehabilitation
  • How to distinguish broad therapy service categories discussed in the article
  • What kinds of hands-on rehabilitation services are covered in the Q&A
  • How CPT parenthetical guidance is referenced in relation to manual therapy

Who Should Read This

  • Medical coders
  • Billing staff
  • Rehabilitation providers
  • Compliance teams
  • Practice managers

Codes Discussed


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