Outpatient Facility Coding Alert - 2005 Issue 30
THERAPY: Don't Use 97750 For Computerized Gait Analysis
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Article Overview
This therapy coding article reviews when a physical performance test or measurement service is considered appropriate, what documentation is expected, and why some computerized gait evaluations may not fit the same billing approach. It also addresses how related measurement services, therapy documentation, and Medicare modifier questions affect billing decisions. The article is aimed at therapists, coders, and billing staff working with outpatient therapy and evaluation services.
Why This Topic Matters
Accurate reporting for therapy performance testing can affect claim acceptance, medical record support, and whether related services are bundled or separately payable. The article helps readers recognize common documentation and coding pitfalls in therapy billing.
Article Sections
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Documentation and time-based billing for physical performance testing
Discusses the general documentation expectations for a time-based therapy testing service, including the need for supporting records and face-to-face service presence.
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Appropriate use of performance testing versus other measurement services
Explains the broad circumstances under which a physical performance test is considered relevant and contrasts it with other types of therapy measurement services.
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Computerized gait evaluation and orthotics-related testing
Addresses computerized gait evaluation systems and the types of functional assessment issues raised when they are used in connection with orthotic fitting.
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Medicare bundling and modifier questions
Summarizes the article’s discussion of Medicare-related bundling concerns and the general modifier issues raised when performance testing is billed with other services.
What You Will Learn
- How the article frames documentation expectations for a time-based physical performance testing service
- What broad factors make a performance test more or less appropriate for billing
- How therapy measurement services are distinguished from broader functional testing
- Why computerized gait evaluation is discussed as a billing concern
- What general modifier and bundling topics are raised in the article
Who Should Read This
- Therapists
- Medical coders
- Billing staff
- Outpatient rehabilitation practices
- Medicare billing staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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