When it comes to treating a patient, the American Medical Association (AMA) developed a system to describe and identify medical conditions and diagnose conditions. This system or language is called Current Procedural Terminology or CPT. Medical professionals like therapists use physical therapy CPT codes for uniformity in medical records data.
There are basic steps when it comes to applying physical therapy CPT codes. Following this step by step guide should make this process simpler. The first thing needed is to have the right paperwork at hand to easily determine the accurate category of the treatment that the patient needs.
Once the treatment of care is determined, the first four digits of the physical therapy CPT codes should be easy to deduce. The fifth number is carefully chosen to represent the level of service provided to the patient. Any billing clerk needs to know the procedure to be applied before they pick the codes to use to avoid making mistakes.
After selecting the correct physical therapy CPT codes, the details of the procedure should be thoroughly explained to the patient. It is not uncommon to do more than one treatment to a patient at a single visit. Note taking should be clear and concise to avoid any setbacks in submitting a claim form to insurance companies.
The last step is to submit the fully completed claim form with the correct physical therapy CPT codes. It is important to review and recheck documentation and codes used to ensure payment at first presentment. If something looks off, review available resources.
It is highly recommended that the physical therapy CPT codes used are as specific as possible. Bundling of codes should only be used if applicable. There are instances wherein bundling of physical therapy CPT codes are unnecessary and this will mean denial of the claim.
Also, it is important to use single physical therapy CPT codes more often. Overcharging should be avoided at all times. Another way of getting a claim denied is overcharging. Stick to the applicable billing amount.
Delays and denials of claims can be easily avoided as long as physical therapy documentation is complete and the physical therapy CPT codes used are accurate. As billing and coding guidelines are changed on a regular basis, billing staff should always be informed and in the loop. Having a contact person in relevant companies and government regulating bodies is wise since they are provide valuable updates and information.