Physiatry is also known as Physical Medicine and Rehabilitation. Both MD and DO can specialize in this. For E/M, they will use the same codes as any other specialty. The ones I coded for did a lot of work comp, stroke rehabiliation, and chronic pain management. I would bone up on your joint aspiration/injection codes, trigger point, nerve blocks, EMG and NCS codes. Some also do the spine injections; some will manage pain pump reprogramming and refills. Our group also chair the IP Rehab department of the hospital, and work closely with PT/OT/ST (but those are through the hospital so I didn't have to code them). One of ours is a DO, so he does sometimes do the Osteopathic Manipulation.
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