Medicare G code information

  • The EDGE task force groups have compiled recommendations on the measures that might be used for G code documentation. Click here for a spreadsheet that contains recommendations for Stroke, MS, TBI, SCI, PD, & Vestibular disorders. Further information on severity modifiers will be forthcoming. 

Thank you to the EDGE contributors!!
Jennifer Kahn (SCI)
Kirsten Potter (MS)
Anna de Joya and Karen McCulloch (TBI)
Deb Kegelmeyer (Parkinsons)
Matt Scherer (Vestibular)
Genevieve Pinto Zipp and Jane Sullivan (Stroke)

 

Evaluation and Re-evaluation coding changes

Starting on January 1, 2017, the Current Procedure Terminology (CPT, ©American Medical Association) codes for physical therapists (PTs) will change. The new codes will enable PTs to describe the complexity of their patients' clinical presentation and other important contextual factors that will affect their care and outcomes.  APTA has urged that greater emphasis be placed on clinical judgment and decision-making in CPT nomenclature and structure.

These revisions will include replacing existing CPT codes 97001 (physical therapy evaluation) and 97002 (physical therapy reevaluation) with 4 new evaluation codes—3 for evaluation and 1 for reevaluation.

For more information regarding the changes, go to this APTA  payment reform page.

For a copy of the APTA Webinar on Sept. 22, 2016 on the coding changes, click HERE

Click HERE for an article  in PT in Motion on background information on the new evaluation code changes.

 

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