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Rehabilitative Services Procedure Codes

Revised: 01-04-2017

There are no requirements for medical authorization for outpatient rehabilitative and therapeutic services— physical therapy, occupational therapy, and speech-language pathology professional services.

Code

Required Modifier

Description

90901

GO, GP

Biofeedback training by any modality. For billing electromyography biofeedback only. Not to be used to bill nerve impulse, blood pressure, blood flow, brain waves, or oculogram biofeedback. Description of service must be included on claim.

90911

Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry

92507

GN

Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual

92508

Group, 2 or more individuals

92521

GN

Evaluation of speech fluency (for example, stuttering, cluttering)

92522

GN

Evaluation of speech sound production (for example, articulation, phonological process, apraxia, dysarthria)

92523

GN

Evaluation of speech sound production (for example, articulation, phonological process, apraxia, dysarthria) with evaluation of language comprehension and expression (for example, receptive and expressive language)

92524

GN

Behavioral and qualitative analysis of voice and resonance

92526

GN, GO

Treatment of swallowing dysfunction and/or oral function for feeding

92626

GN

Evaluation of auditory rehabilitation status; first hour

92627

Each additional 15 minutes (List separately in addition to code for primary procedure.)

92630

Auditory rehabilitation; prelingual hearing loss

92633

Postlingual hearing loss

97532

GN, GO, GP

Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct patient contact by provider – 15 minutes

97533

Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct patient contact by provider – 15 minutes

92597

GN

Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech

92605

Evaluation for prescription of non-speech generating augmentative and alternative communication devices, face-to-face with patient; first hour

92618

Each additional 30 minutes (List separately in addition to code for primary procedure)

92607

Evaluation for prescription speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour

92608

Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (list separately in addition to code for primary procedure)

92610

GN, GO

Evaluation of oral and pharyngeal swallowing function

92611

Motion fluoroscopic evaluation of swallowing function by cine or video recording

92612

GN

Flexible fiber optic endoscopic evaluation of swallowing by cine or video recording

92614

Flexible fiber optic endoscopic evaluation, laryngeal sensory testing by cine or video recording

92616

Flexible endoscopic evaluation of swallowing

95831

GO, GP

Muscle testing, manual extremity

95832

Hand

95833

Total evaluation of body, excluding hands

95834

Total evaluation of body, including hands

95851

GO, GP

Range of motion measurements and report; each extremity (excluding hand) or each trunk section

95852

Range of motion measurement – hand, with or without comparison to normal side

96105

GN

Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, for example, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour

96110

GN, GO, GP

Developmental screening (for example, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument

96111

Developmental testing, (includes assessment of motor, language, social, adaptive and/or cognitive functioning by standardized developmental instruments) with interpretation and report

97161

GP

Physical therapy evaluation, low complexity

97162

Physical therapy evaluation, moderate complexity

97163

Physical therapy evaluation, high complexity

97164

Re-evaluation of physical therapy established plan of care

97165

GO

Occupational therapy evaluation, low complexity

97166

Occupational therapy evaluation, moderate complexity

97167

Occupational therapy evaluation, high complexity

97168

Re-evaluation of occupational therapy established plan of care


Occupational Therapy and Physical Therapy

Code

Required Modifier

Description

Unattended modalities

97010

GO, GP

Hot or cold packs

97012

Traction, mechanical

97014

Electrical stimulation, unattended

97016

Vasopneumatic devices

97018

Paraffin bath

97022

Whirlpool

97024

Diathermy (for example, microwave)

97026

Infrared

97028

Ultraviolet

G0283

Electrical stimulation to one or more areas for indication(s) other than wound care, as part of a therapy plan of care – do not bill with 97014

Attended modalities: require constant attendance of therapist

95992

GO, GP

Canalith repositioning procedure(s) (for example, Epley maneuver, Semont maneuver), per day

97032

Application of a modality to one or more areas; electrical stimulation, manual – 15 minutes

97033

Iontophoresis – 15 minutes

97034

Contrast bath – 15 minutes

97035

Ultrasound – 15 minutes

97036

Hubbard tank – 15 minutes

Therapeutic Techniques with Direct Patient Contact

97110

GO, GP

Therapeutic procedure, exercises – 15 minutes

97112

Neuromuscular – 15 minutes

97113

Aquatic therapy – 15 minutes

97116

Gait training – 15 minutes

97124

Massage – 15 minutes

97140

Manual therapy techniques (for example, mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions – 15 minutes

97530

Therapeutic activities, direct, (one-on-one) – 15 minutes

97535

Self-care home management training (for example, ADLs compensatory training, meal preparation, safety procedures, and instructions in use of adaptive equipment) direct one-on-one contact – 15 minutes

97537

Community work reintegration training (example, shopping, transportation, money management, vocational activities) direct one-on-one contact – 15 minutes

97542

Wheelchair management (assessment, fitting, training) – 15 minutes

Wound Care

97597

GO, GP

Debridement (example, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound,(example, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm) including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound (s) surface area; first 20 square centimeters or less

97598

Debridement, each additional 20 square centimeters (list separately in addition to 97597)

97602

Removal of devitalized tissues from wound(s), non-selective debridement, without anesthesia (for example, Wet-to-moist dressings, enzymatic, abrasion), including topical application(s), wound assessment, and instruction(s) for ongoing care

97605

Negative pressure wound therapy (for example, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wounds(s) surface area less than or equal to 50 square centimeters

97606

Negative pressure wound therapy, total wound(s) surface area greater than 50 square centimeters

97607

Negative pressure wound therapy, (for example, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment, including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters

97608

Negative pressure wound therapy, (for example, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters

97610

Low frequency, non-contact, non-thermal ultrasound, including topical application (s) when performed, wound assessment, and instructions for ongoing care, per day

Orthotic/Prosthetic: Assessment and Training

97760

GO, GP

Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) or trunk -- 15 minutes

97761

Prosthetic training, upper and/or lower extremity(s) – 15 minutes

97762

Checkout for orthotic/prosthetic use, established patient – 15 minutes


Evaluative/Therapeutic/Rehabilitative

Code

Required Modifier

Description

92606

GN

Therapeutic service(s) for the use of non-speech generating device, including programming and modification

92609

Therapeutic services for the use of speech-generating device, including programming and modification

92700

Unlisted otorhinolaryngological service or procedure

96125

GN, GO

Standardized cognitive performance testing (for example, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report.

97039

GO, GP

Unlisted modality – Requires a description or claim attachment; specify type and time if constant attendance

97139

Unlisted therapeutic procedure – 15 minutes

97150

Therapeutic procedures group, two or more persons

97545

Work hardening/conditioning, initial 2 hours

97546

Work hardening, each additional hour

97750

Physical performance test or measurement (functional capacity) – 15 minutes

97755

Assistive technology assessment (for example, to restore, augment or compensate for existing function, optimize functional task and/or maximize environmental accessibility), direct one-to-one contact by provider, with written report, each 15 minutes

97799

Unlisted physical med/rehab service or procedure– Requires a description or claim attachment


Speech-Language Screening

Code

Required modifier

Description

V5362

GN

Speech screening (articulation)

V5363

Language screening (receptive or expressive)

V5364

Dysphagia screening

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