Results 1 to 10 of 10

Physical Therapy

  1. #1
    Default Physical Therapy
    Medical Coding Books
    TO THOSE WITH EXPERIENCE WITH PT SERVICES. CAN YOU BILL THIS OUT, AND WHAT HCPCS CODE IS USED?

    BRAND NAMES: Orudis, Oruvail

    GENERIC NAME: ketoprofen


    PRESCRIBED FOR: Ketoprofen is used for the treatment of inflammation and pain caused by rheumatoid arthritis and osteoarthritis, as well as soft tissue injuries, such as tendinitis and bursitis. Orudis is immediately released into the blood and is also used for rapid relief of mild to moderate pain and menstrual cramps. Oruvail is slowly released into the blood and is generally not useful in situations where prompt pain relief is desired.

  2. #2
    Default
    How was this given. If a prescription was written then you would not be using a HCPCS Code for the Drug
    Herbie W Lorona Jr., CPC, CPC-H
    hlorona@up2parmedicalclinic.com

  3. #3
    Default
    I HAVEN'T WENT TO TALK TO THE PT PROVIDER, REGARDING THIS. BUT HE WROTE Ketoprofen NET TO THE SERVICE OF PHONOPHORESIS (CPT 97035).

    SO IF THIS MAKES ANY SENSE TO YOU, EDUCATE ME ON THIS, IT WOULD BE HIGHLY APPRECIALTED.

  4. #4
    Default
    I dont quite do Phyiscal Therapy coding but I am going to have to start to because a friend of mine opened up a buisness and he is a therapist. I told him I would help him with his coding and billing so I have to start learning. Now after doing some research I believe I have figured out what he is saying. CPT Code 97035 is for application of a modality to one or more areas; ultrasound, each 15 minutes. Phonophoresis is when they apply a steroidal cream in place of the typical conductive gels. So you would report 97035 with does require one-on-one direct patient contact by the provider and use code 99070 for the cream. Hope this helps.
    Herbie W Lorona Jr., CPC, CPC-H
    hlorona@up2parmedicalclinic.com

  5. #5
    Default
    From The Information I've Gathered, That's The Direction I Would Of Taken. Thank You For The Input. I Agree With Everything. Just Wanted To Make Sure There Wasn't Any Hcpcs Code For The Gel.

    Respectfully
    Daniel, Cpc

  6. Default
    I also agree. Good job! I performed PT/OT billing for over 10 years. Now I moved on to Ortho and Surgery.

    Also, if anyone is looking for a biller/coder, I am in the process of opening my own business.

    Thanks and take care!

    Kim Horger, CPC

  7. #7
    Default
    Well good for you Kim. That is what I am looking to do in the near future. Thats why I am happy to be helping out my buddy with his PT/OT buisness. Good luck with your buisness
    Herbie W Lorona Jr., CPC, CPC-H
    hlorona@up2parmedicalclinic.com

  8. Default
    I would like to add that a therapist can not do ultrasound without a medium (the gel) so actually the cost of the gel would (or should) be built into the procedure cost and not billed seprately--thinking in terms of the RVU. Medicare and most payors would not expect to see this billed as a supply. the same goes for the pads used in ultrasound.

  9. Default
    Does anyone know how to bill code 97035 when done bilaterally?

  10. #10
    Location
    Milwaukee WI
    Posts
    4,466
    Default 97035 x units for time
    The description of 97035 is:
    Application of a modality to one or more areas; ultrasound, each 15 minutes. (emphasis added by FTB)

    So whether you apply the ultrasound to one area or two areas or twenty areas, it's 97035 for each 15 minutes of ultrasound. If total time was 15 minutes you code 97035 only once. If time was 30 minutes you code 97035 x 2 (etc...)

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Physical Therapy
    By chrissylyman0629@gmail.com in forum Orthopaedics
    Replies: 2
    Last Post: 04-02-2014, 08:00 AM
  2. physical therapy modifier when annual therapy limit reached
    By nadinecrowley@yahoo.com in forum Billing/Reimbursement
    Replies: 2
    Last Post: 04-22-2013, 01:26 PM
  3. Physical Therapy
    By Ania773 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-31-2012, 09:58 AM
  4. Physical Therapy
    By codedog in forum Medicare Regulations
    Replies: 1
    Last Post: 01-26-2012, 09:27 AM
  5. Physical Therapy
    By mespeight in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-15-2010, 07:41 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.