Medicine: Physical Medicine and Rehabilitation (December 2009)

December 2009 page 15-end Bonus Feature: Medicine: Physical Medicine and Rehabilitation Question: When reporting the CPT physical medicine and rehabilitation time-based codes, should the medical record documentation reflect the amount of time spent with the patient while supervising therapeutic exercise, eg, four units of code 97110 , Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ? Kathy Schneeberger RN, BSN, CCS, CCS-P Answer: Certain physical medicine services are timed codes based on a 15-minute unit. Multiple units can be reported on a date of service for one or...

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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 covers a December 2009 CPT Assistant discussion of physical medicine and rehabilitation coding. It focuses on documentation expectations for timed services, how multiple units may be supported, and general reporting considerations for time-based therapy services. The article is aimed at coding professionals, billers, auditors, and clinicians involved in rehabilitation documentation and charge capture.

Why This Topic Matters

Timed therapy services are commonly reviewed for documentation completeness and unit reporting consistency. This article helps readers understand the general framework used when evaluating whether recorded time supports reported therapy services.

Article Sections

  1. Bonus Feature: Medicine: Physical Medicine and Rehabilitation

    An issue-specific Q&A discussing documentation and reporting considerations for physical medicine and rehabilitation services. The section addresses general timed-service reporting concepts and provider documentation expectations.

What You Will Learn

  • How this CPT Assistant item frames documentation for timed rehabilitation services
  • What kinds of time-based reporting considerations are discussed for therapy services
  • The general documentation themes emphasized for physical medicine and rehabilitation billing
  • Why timed service records are important for audit and compliance review

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance auditors
  • Physical medicine and rehabilitation providers
  • Rehabilitation therapists
  • Practice managers

Codes Discussed

Modifiers Discussed


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