tci Part B Insider - 2006 Issue 10

PHYSICAL MEDICINE: Reader Question--Learn The ABCs of ADL Coding

Question: We have documentation for three patients, all knee amputees, who were recently fitted with lower-limb prostheses. The therapist performed activities of daily living (ADL) training, which included stump management techniques, for a total of 60 minutes. The therapist also instructed each of the patients one-on-one for 10-12 minutes to accommodate their individual needs during this 60-minute demonstration. Which codes should I report in this case? North Carolina Subscriber Answer: You’d report one unit of CPT Codes 97353 and one unit of 97150 (Therapeutic procedure[s], group [2 or more individuals]) for the balance of the 60-minute period for...

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