Wisconsin Chiropractic Association

Appendix B:
Physical Medicine and Rehabilitation Services

Table 1 ~ Modalities: The use of modalities in a musculoskeletal practice is common. Various attended and non-attended or supervised modalities are described. The Relative Value Units are located in the right hand column.

Supervised Modalities

Code	Description	RVU*
97010	Hot or cold packs	.29
97012	Traction, mechanical	.46
97014	Electrical stimulation (unattended)	.40
97016	Vasopneumatic devices	.45
97018	Paraffin bath	.33
97020	Microwave	.28
97022	Whirlpool	.38
97024	Diathermy	.29
97026	Infrared	.27
97028	Ultraviolet	.28

Constant Attendance Modalities

Code	Description	RVU*
97032	Electrical stimulation (manual), each 15 minutes	.40
97033	Iontophoresis, each 15 minutes	.42
97034	Contrast baths, each 15 minutes	.32
97035	Ultrasound, each 15 minutes	.33
97036	Hubbard tank, each 15 minutes	.51
97039	Unlisted attended modality (specify type and time)	.47

 

Table 2 ~ Physical Medicine Procedures: A listing of treatment services is found in this table with the associated CPT code number. NE stands for Not Established.

97110	Therapeutic procedure, one or more areas, each 15 minutes; OR, Therapeutic exercises to develop strength and endurance, range of motion and flexibility	.60
97112	Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception, ea. 15 min.	.59
97113	Aquatic therapy with therapeutic exercises, ea. 15 min.	.66
97116	Gait Training (includes stair climbing), ea. 15 min.	.52
97124	Massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)	.47
97139	Unlisted therapeutic procedure (specify) ea. 15 min.
97140	Mobilization, manipulation, manual traction, lymphatic drainage, ea. 15 minutes
97150	Therapeutic procedure(s), group (2 or more individuals)	.49
97504	Orthotics fitting and training upper and/or lower extremities; each 15 minutes	.61
97520	Prosthetic fitting and training upper and/or lower extremities; each 15 minutes	.62
97530	Therapeutic activities, direct (one on one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes	.63
97535	Self care/home management training (e.g., activities of daily living and compensatory training, meal preparation, safety procedures, and instructions in use of adaptive equipment) direct one on one contact by provider, each 15 minutes.	.64
97537	Community /work reintegration training (e.g., shopping, transportation, money management, avocational activities and/or work environment/modification analysis), work task analysis, direct one on one contact by provider, each 15 minutes. [for wheelchair management/propulsion training, use 97542, each 15 minutes]	.64
97542	Wheelchair management/propulsion training, each 15 minutes	.44
97545	Work hardening/conditioning; initial 2 hours	NE
97546	each additional hour	NE

 

Table 3: When tests or measures are performed, specific CPT codes can be assigned to the service. When other services such as acupuncture is performed, CPT codes specific to those services are also available.

(For muscle testing, manual or electrical, joint range of motion, electromyography or nerve velocity determination, see 95831-95904)

Tests and Measurements

97703	Checkout for orthotic/prosthetic use, established patient, each 15 minutes	.46
97750	Physical performance test or measurement (e.g., musculoskeletal, functional; capacity), with written report, each 15 minutes	.72

Other Procedures

97770	Development of cognitive skills to improve attention, memory, problem solving., includes compensatory training and/or sensory integrative activities, direct (one-on-one) patient contact by the provider, each 15 minutes	.75
97780	Acupuncture, one or more needles; without electrical stimulation	NE
97781	With electrical stimulation	NE
97799	Unlisted physical medicine service or procedure	NE

NE = Not Established

From: 6^th Annual edition 1998 ChiroCode DeskBook, Leavitt Crandall Institute, Inc. Mesa, AZ, 1997

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Since 8-08-2003