2023 Coding and Payment Guide for the Physical Therapist (Spiral)
Optum | 2023 |
The Coding and Payment Guide for the Physical Therapist is your one-stop coding, reimbursement, and documentation resource developed exclusively for physical therapy. Co-produced with the American Physical Therapy Association, this comprehensive and easy-to-use guide is updated for 2023 and organized by specialty-specific CPT® codes. Each code includes its official description and lay description, coding tips, documentation and reimbursement tips, Medicare edits, and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.
PDF: Compare Optum Coding and Payment Guides to other industry books (199KB).
CPT is a registered trademark of the American Medical Association.
CDT © 2022 American Dental Association.
PDF: Compare Optum Coding and Payment Guides to other industry books (199KB).
CPT is a registered trademark of the American Medical Association.
CDT © 2022 American Dental Association.
- Optum Edge — Co-produced with APTA. The only resource for the physical therapist produced with the American Physical Therapy Association.
- Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure codes, making your coding process for procedures quick and efficient.
- ICD-10-CM code icons – Icons identify male and female only codes, as well as age-related and laterality diagnosis codes.
- Quickly find information. All the information you need is provided, including CPT® full code descriptions, lay descriptions, coding tips, procedure code-specific documentation and reimbursement tips, clinical terms, Medicare edits and IOM references, CPT® Assistant references, and commonly associated ICD-10-M diagnosis codes.
- CPT® Assistant references. Identify that an article or discussion of the CPT® code has been in the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct volume.
- Avoid claim denials and/or audits. Medicare payer information includes references from Internet Only Manual (IOM) guidelines, follow-up days, and modifier usage.
- Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with total RVUs for non-facility and facility for CPT® codes are included.
- Helpful illustrations. Detailed illustrations provide a better understanding of therapy services.
- CCI edits. CCI Edits for CPT® and HCPCS procedure codes are included with quarterly updates available online at Optumcoding.com Product Update / Support page.
CPT is a registered trademark of the American Medical Association.
Nannette Orme, CPC, CCS-P, CPMA, CEMC
Ms. Orme has more than 20 years of experience in the healthcare profession. She has extensive background in CPT®/HCPCS and ICD-9-CM coding and has completed comprehensive ICD-10-CM and PCS training. Her prior experience includes physician clinics and healthcare consulting. Her areas of expertise include physician audits and education, compliance and HIPAA legislation, litigation support for Medicare self-disclosure cases, hospital chargemaster maintenance, workers' compensation, and emergency department coding. Ms. Orme has presented at national professional conferences, contributed articles for several professional publications, and served on the advisory board of a local college. She is a member of the American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA).
CPT is a registered trademark of the American Medical Association.
CPT is a registered trademark of the American Medical Association.
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