Eli's Rehab Report

Published on Wed Apr 06, 2005 PDF

Key: Report either 97150 or a timed CPT Code for therapy

Think you've got individual versus group therapy straight? Test your skills with this coding challenge.

Fill in the blanks for the questions below with one of two possible answers: either "group therapy," which you would report using 97150 (Therapeutic procedure[s], group [2 or more individuals]), or "individual therapy," (97032-97140, CPT 97530 -CPT 97537 ) defined by the timed CPT codes for therapeutic procedures requiring direct one-on-one patient contact.

Remember, the answer will always be group therapy or individual therapy. Then turn to "Coding Quiz Answers" to see if you're correct.

(1) ___________ minutes can occur continuously (15 minutes straight) or in episodic order, such as 10 minutes now and 5 minutes later.

(2) When a therapist sees two or more patients who are not doing the same activities, he would report a ___________ code.

(3) If the therapist provides only brief, intermittent personal contact to three patients at the same time, you should report one unit of __________ for each patient.

(4) A therapist provides direct one-on-one contact to Patient A (8 minutes), Patient B (8 minutes) and Patient C (8 minutes). After 24-hours, the therapist returns to work with patient A for 9 more minutes, B for 4 more minutes, and patient C for 6 additional minutes. For each patient, you should report one 15-minute unit of __________.

5) A therapist moves back and forth between patient A and B, spending a minute or two at a time with each, providing modifications for Patient A (12 minutes total) and verbal cues to Patient B's gait training (10 minutes total). For each patient, you should report one unit of ___________.