occupational therapy

what is standard code for evaluation and code for treatments?

re: occupational therapy

The codes most often used for billing occupational therapy are listed below. Please note that the AMA defines a therapeutic procedure as a manner of effecting change through the application of clinical skills and/or services that attempt to improve function. During a therapeutic procedure the therapist is required to have direct (one on one) patient contact.

97110 - Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility

97112 - Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture and/or proprioception for sitting and/or standing activities

97113 - Aquatic therapy with therapeutic exercises

97124 - Massage, including effleurage, petrissage and/or tapoment (stroking, compression, percussion); (for Myofacial Release, use 97140)

97139 - Unlisted therapeutic procedure (specify)

97140 - Manual therapy techniques (e.g. mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes

97150 - Therapeutic procedure(s), group (2 or more individuals) (report 97150 for each member of group); (group therapy procedures involve constant attendance of the physician or therapist, but by definition do not require one-on-one patient contact by the physician or therapist)

97504 - Orthotic(s) fitting and training, upper extremity(ies), lower extremity(ies), and/or trunk, each 15 minutes

97520 - Prosthetics training, upper- and/or lower-extremity training, each 15 minutes

97530 - Therapeutic activities, direct one-on-one patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes

97532 - Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct one-on-one patient contact by the provider, each 15 minutes

97533 - Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct one-on-one patient contact by the provider, each 15 minutes

97535 - Self-care home management training (e.g. activities of daily living and compensatory training, meal preparation, safety procedures, and instruction in use of assistive technology devices/adaptive equipment), direct one-on-one contact by the provider, each 15 minutes

97537 - Community/work reintegration training (e.g. shopping, transportation, money management, avocational activities and/or work environment/modification analysis), direct one-on-one patient contact by the provider, each 15 minutes

97542 - Wheelchair management/propulsion training, each 15 minutes

97545 - Work hardening/conditioning, initial 2 hours

http://www.aaos.org/news/aaosnow/nov10/managing1.asp