Appendix B: Physical Medicine and Rehabilitation Services
 
   

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

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