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Thread: Physical Therapy Help - We are starting to bill for Physical

  1. #1

    Exclamation Physical Therapy Help - We are starting to bill for Physical

    AAPC: Back to School
    We are starting to bill for Physical Therapist new to our area. They have provider us with a list of CPT codes they use. Reviewing this list, we found a code 97751 (FCE-Additional) that is not listed in the current CPT book. Does anyone know where this code came from and if there is a replacement code to use?

    Also, under code 99750 they have listed "FCE-initial 4 hours". CPT Book states each 15 minutes.......??????????

    Any help would be appreciated.
    Last edited by ank3t; 10-20-2016 at 04:13 AM.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    I would code nothing without the documentation then you will know what code to use, and how much time to code for. Not documented not done, no time documented for a time based code then it is not done. You cannot bill codes based on a list of most used codes.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Phoenix, AZ


    I agree with Debra. BTW, 97750 is a physical capacity test which is usually a 4 hour test. It used to be done by our OTs not PTs. Its used to put the patient through a simulation of his/her work day to evaluate his/her capacity to work or get through a typical day (ADLs). Based on the outcome of this test, the patient is either put on light duty or sent back to full duty. The outcome can also keep the patient in therapy and help the therapist set functional goals.

    Hope that helps.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  4. #4


    Thank you for clarifying that Cyndi. I work in a physical therapy office and have never seen that CPT code. Thank you for the learning opportunity!!!

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