Evaluation of physical therapy, typically 20 minutes

The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient`s current status is stable and uncomplicated; and assess one to two elements relating to body structure and function, and limitations, such as joint flexibility, muscle strength, gait, mobility, and neuromuscular function. She uses standardized tests and measures and employs clinical decision–making of low complexity, typically involving 20 minutes of face–to–face time with the patient or family or both.CPT Code: 97161  

Physical Therapy, therapeutic exercise

Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with injury–related disabilities, it can also be utilized on normally active and healthy persons to improve their overall health. Therapeutic exercises can be helpful to people recovering from surgery, to improve overall health during pregnancy and to provide relief to people with osteoporosis. The exercise program is designed specifically to suit each person and involves physical as well breathing exercises. CPT Code: 97110  

Physical Therapy - Gait Training

The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without strain for a period of 15 minutes. CPT Code: 97116  

Evaluation of occupational therapy, typically 30 minutes

The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and consideration of a limited number of treatment options, on a patient who presents with no health issues that affect occupational performance. The evaluation includes occupational profile, medical and therapy history including therapy relating to the current problem, and evaluation of one to three physical, cognitive, or psychosocial performance factors that limit activity or restrict participation. Evaluation components can be completed without modification of tasks or assistance, such as physical or verbal, typically in 30 minutes of face–to–face time with the patient and/or family. CPT Code: 97165  

Evaluation of occupational therapy established plan of care, typically 60 minutes

The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment data, and consideration of multiple treatment options, on a patient who presents with health issues that affect occupational performance. The evaluation includes an occupational profile, extensive review of medical and therapy history including therapy relating to a current problem, and evaluation of five or more physical, cognitive, or psychosocial performance factors that limit activity or restrict participation. Evaluation components can be completed with significant modification of tasks or assistance, such as physical or verbal, resulting in several treatment options, and typically in 60 minutes of face–to–face time with the patient or family or both. CPT Code: 97167