Medicine: Physical Medicine and Rehabilitation (Q&A) (November 2016)

November 2016 page 9c Medicine: Physical Medicine and Rehabilitation Question: Is it appropriate to report code 97140, Manual therapy techniques (eg, mobilization/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes, with modifier 59, Distinct Procedural Service, appended for a separate procedure such as myofascial release, when performed by the same provider at the same session with chiropractic manipulative treatment (CMT), where both procedures are performed to the same spinal region? Answer: No, modifier 59 indicates that the procedure was provided to a separate anatomical body region. Given the similarity in the two procedures (CMT as...

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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 premium article addresses selected physical medicine and rehabilitation coding questions from a Q&A format. It covers broad guidance related to reporting therapy services, use of modifiers for distinct services, and handling of unlisted or modality-type procedures. It is intended for coders, billing staff, and clinicians who work with rehabilitation and chiropractic-related documentation.

Why This Topic Matters

The article helps readers understand how common rehabilitation and adjunct therapy scenarios are discussed in CPT Assistant guidance, which can affect code selection, modifier reporting, and documentation support.

Article Sections

  1. November 2016 page 9c

    Introductory publication information for the Q&A content in this issue.

  2. Question and answer on manual therapy reporting with chiropractic manipulative treatment

    A discussion of reporting considerations for therapy services when multiple procedures are performed in the same session and involve the same or different anatomical regions.

  3. Question and answer on cupping and unlisted physical medicine/rehabilitation services

    A discussion of how an adjunct physical medicine procedure is categorized and whether an unlisted service code is appropriate, including documentation expectations for unlisted reporting.

What You Will Learn

  • How the article frames therapy coding questions in physical medicine and rehabilitation
  • What topics are addressed regarding distinct procedural service reporting
  • How the article treats unlisted and modality-related rehabilitation services
  • What kinds of documentation are discussed for unlisted procedure reporting

Who Should Read This

  • Medical coders
  • Billing and reimbursement staff
  • Chiropractic office staff
  • Physical medicine and rehabilitation clinicians
  • Compliance and documentation reviewers

Codes Discussed

Modifiers Discussed


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