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For the cardiovascular/pulmonary system: the assessment of heart rate, respiratory rate, blood pressure, and edema. For the integumentary system: the assessment of pliability (texture), presence of scar formation, skin color, and skin integrity.
Physical therapy evaluations require the following components in selecting the correct evaluation level—History, Examination, Clinical Presentation, and Clinical Decision Making.
Physical therapy evaluations require the following components in selecting the correct evaluation level—History, Examination, Clinical Presentation, and Clinical Decision Making.
Enter your email address below, and we’ll send you a super-simple chart to help you decide which level of complexity—and thus, which CPT code—is appropriate for any given patient evaluation.
Physical therapists must document clinical presentation as one of the four initial evaluation components to support the appropriate evaluation complexity code. The following table shows which clinical presentation relates to each complexity level:
RE-EVAL PHYSICAL THERAPY DECISION CHART FOR CPT® EVALUATION CODES BY COMPLEXITY
Systems Reviewed / Tests Used in Each: *Musculoskeletal: ROM, strength, posture *Neuromuscular: Balance, gait, motor control, transitions, locomotion, gait. *Cardiovascular/Pulmonary: Vitals, edema, activity tolerance.
Objectives. Review the ICF model and its components. Be able to integrate the ICF model into evaluations. Explain the reasoning behind the development of the new codes. Discuss the three new complexity codes and their components. Discuss case studies and apply concepts to patient evaluations.
On January 1, 2017, the CPT codes for PT evaluations and re-evaluations (codes 97001 and 97002) will be replaced by a new, tiered set of codes. Use the following cheat sheet to familiarize yourself with the codes and to determine complexity levels based on a set of criteria. NEW CPT CODE*. DESCRIPTION.
Code 97001 is gone with the wind to make way for three new, more specific initial evaluation codes: Now pairing severity of the patient’s condition with reimbursement rates, the APTA’s new mandated system works by classifying: How to Choose an Evaluation Code.