Therapy Type Definitions

Created by Misty Ahmad, Modified on Mon, 23 Sep at 5:25 PM by Jen Sommers

Practice Intel:

Information on Therapy Types:

When building our platform, we wanted to provide our clients with the ability to filter their data by type of therapy since there are important nuances with each type. For example, we know the billing for a splinting visit is expected to be much different compared to a normal PT or OT visit.

Additionally, compliance rules are slightly different for certain therapy types. Since we are able to filter by Therapy Type, we can exclude certain types from the Compliance section of Practice Intel. These include Long Term Pediatric, Work Hardening or Work Conditioning and FCE visits.

Therapy Type	Rule
Splint Visit	CPT codes: L-codes (start with “L”)
Strapping / Casting Visit	CPT codes: 29-codes (start with “29”)
Work Hardening or Work Conditioning Visit	CPT codes: 97545 or 97546
FCE Visit	CPT code: 97750
Long Term Pediatric	Age at first visit: below 18 ICD-10 Categories: A50, A51, E00, E45, F, G11, G40, G80-83, G91, K00, M08, M20-21, M41, M42.0, M43.6, M62.81, M67, M89.2, M91, M92, M95, P, Q, R13, R26, R27, R41, R44-49, R53, R56, R62, R63, T74, T76, T79, Z13.4, Z32
Neuro	ICD-10 Categories: A69.22, B02.29, C47, C71, C72, C7a, C7B, D33, D3A, D36.1, D43, D49.6, E11.4, F44, F84, F88, G09, G10-14, G20, G30-37, G40, G56-59, G60-65, G80-83, G9, H81, I63, M41.4, P11, P14, Q0-7, Q85, R29, R41, R56, R90, S06, T44, Y75, Z87.82
Arm Visit	ICD-10 Categories: M79.63, S50-59, G56.1-56.4, G56.8-56.9, M77.0-77.2, M79.601-79.603, M79.62, S40-49
Hand Visit	ICD-10 Categories: M79.64, S60-69, G56.0, M65.4, M65.3, M65.84, M65.24, M65.14, M65.04, M18
Speech Therapy	ICD-10 Categories: F80, F84.2, F95, I69.02-69.92, R13, R41, R47-49