physical therapy - joint repleacement surgery

[clemsoncannons@yahoo.com]

We have prehab visits, which is 1 session for preassessment, education and instruction in PT HEP before joint repleacement surgery. Can someone give me an idea of what codes are used for their Prehab programs?

 

[kivbar16]

We would bill 97001 for the initial, pre-procedure assessment, then after surgery, bill 97002 if reassessment was done after surgery. Of note, our PT's do full evals before the surgery so there was a baseline to get back to, so to speak.

 

[clemsoncannons@yahoo.com]

We do the same for the CPT codes, but what codes would you use for ICD-10 dx codes?

 

[mitchellde]

K. Admissions/Encounters for Rehabilitation
When the purpose for the admission/encounter is rehabilitation, sequence first the code for the condition for which the service is being performed. For example, for an admission/encounter for rehabilitation for right-sided dominant hemiplegia following a cerebrovascular infarction, report code I69.351, Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, as the first-listed or principal diagnosis.
If the condition for which the rehabilitation service is no longer present, report the appropriate aftercare code as the first-listed or principal diagnosis. For example, if a patient with severe degenerative osteoarthritis of the hip, underwent hip replacement and the current encounter/admission is for rehabilitation, report code Z47.1, Aftercare following joint replacement surgery, as the first-listed or principal diagnosis.

 

[clemsoncannons@yahoo.com]

Ok, So if I'm understanding correctly, for prehab-before joint replacement surgery, the code would be the condition code (basically medical dx) and then after surgery for continued rehab, use the aftercare code as first-listed, which would be a z code.