CPT-97150

For the reimbursement of these CPTs following elements must be documented in the Physical Therapy Notes:

1. Documentation of Direct contact of Physical Therapist or supervised support personnel with the group.
2. Documentation of skilled interventions as required per individual patient’s needs.
3. It is not necessary that all the patients perform the same activity simultaneously.
4. Documentation of medical condition that justify medical necessity of massage therapy.
5. Total direct time spent by the provider with patient.
6. In order to meet coverage criteria, therapy services have these requirements in common:

• • Patient condition has the potential to improve.
  • Documentation of improvement from therapy using objective assessment tools and measurements and functional accomplishments.
  • Therapy is not being provided to treat loss of function in conditions that are transient and expected to resolve spontaneously reversible.
  • In case of maintenance therapy, therapy services cannot be carried out safely by patient himself or patient’s family or caregiver and require treatment by therapist to prevent further deterioration of patient condition.
  • Therapy plan must be developed by a qualified/certified healthcare professional.