Unit 2 : Quiz 2 Flashcards
ICD-10 Codes
- should be as descriptive as possible
- including anatomical site, laterality, and episode of care
A patient receives 25 minutes of Electrical Stimulation via TENS (Transcutaneous Electrical Nerve Stimulation) to the low back while the therapist is completing documentation in her office. Which is the correct way to bill this intervention?
- 1 unit of Unattended Electrical Stimulation (97014)
Which of the following CPT codes would these interventions fall under?
-seated lower extremity strengthening
-active-assistive range of motion activities (AAROM) to the upper extremity
-walking in a hallway for 10 minutes
Therapeutic Exercise (97110)
Which of the following CPT codes would these interventions fall under?
providing moderate assistance and instructing a patient in the correct sequencing to perform supine to sitting on the edge of the bed
Therapeutic Activities (97530):
Which of the following CPT codes would these interventions fall under?
- ambulating in the hallway with quad cane while providing minimal assistance to advance the left lower extremity
- instructing a patient in the correct gait sequence while using crutches
- Instructing a patient in using a reciprocal gait pattern when going up the stairs
Gait Training (97116)
A patient receives the following treatment during their Physical Therapy session:
- 12 minutes of Therapeutic Exercise for LE strengthening
- 15 minutes of Gait Training to learn how to use a single point cane
- 8 minutes of Manual Therapy due to knee pain
- 10 minutes of Neuromuscular Re-education for balance activities on the AirEx pad
- 5 minutes of ice to the knee
How should this session be billed?
1 unit of Therapeutic Exercise, 1 unit of Gait training, 1 unit of Neuromuscular Re-education
Which of the following is considered “Billable Minutes”:
Educating a patient on a Home Exercise Program
definition of “Upcoding”:
charging for more extensive and costly services than the therapist actually delivered
A Medicare beneficiary has been receiving PT services in an outpatient facility for the past 8 weeks. The patient has met all of their PT goals and no longer has a need for skilled PT services. However, the patient wants to keep coming to therapy because “you make her do her exercises.” What is the best action for the therapist to take?
Have the patient sign an Advanced Beneficiary Notice. Bill Medicare with the GA modifier. Bill the patient after receiving the denial.
Consider the following patient, which Evaluation Code should be billed?
A 25 year old female who has had 3/10 left knee pain for 2 weeks. She has no significant past medical history (PMH) and no co-morbidities. She has no limitations with ADLs or work related tasks, but is unable to participate in her morning jogs. Her strength, ROM, and sensation are normal.
Low Complexity (97161)
