AMA CPT® Assistant - 1996 Issue 12 (December)

Medicine, Physical Therapy Evaluation (Q&A) (December 1996)

December 1996 page 10b Coding Consultation Medicine, Physical Therapy Evaluation, 97999 (Q&A) Question What code should I use to report a physical therapy evaluation? AMA Comment There is no CPT code in the Physical Medicine and Rehabilitation section to describe the evaluation of a patient to determine the type of physical medicine treatment needed. An evaluation and management code may be used if the provider is a physician and if a history, examination, and medical decision making are performed, based on the guidelines in CPT. If the provider is not a physician, the third-party payor should be contacted...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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