AHA Coding Clinic® for ICD-9 - 2006 Issue 3; Ask the Editor

Physical Therapist's Diagnosis

At our facility, we are coding physical therapy encounters based on the physical therapist’s diagnosis after evaluating the patient. We are coding these visits for the facility, not the professional charge. The American Physical Therapy Association has adopted guidelines, which state, “The physical therapist performs an initial examination and evaluation to establish a diagnosis and prognosis prior to intervention.” Is it appropriate to code these diagnoses in place of or in addition to the physician’s diagnosis? ...

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