Coding and Billing

Navigating the New Payment System

Still struggling with the new evaluation and reevaluation codes? Need some help on how to select the appropriate evaluation code based on patient presentation? We can help with that. Check out these FREE resources for APTA-KY members:

Telehealth Information
New/Modifications to the Place of Service (POS) Codes for Telehealth

New Payment System Webinar
This course is designed to introduce physical therapists to the new evaluation and reevaluation codes, and teach therapists how to select the appropriate evaluation code based on patient presentation. The new evaluation codes are split into 3 levels: low complexity evaluation, moderate complexity evaluation, and high complexity evaluation. Physical therapists will need to select the appropriate evaluation level based on 4 components: patient history, examination, patient presentation, and complexity of clinical decision making. This course includes patient scenarios specific to a variety of physical therapist practice settings, including cardiovascular and pulmonary, geriatrics, neurology, orthopedics, pediatrics, and private practice.

New Evaluation Codes Webinar (follow up to the New Payment System Webinar)
This is the continuation of the New Payment System webinar from September 2016 to provide any updates made since the codes were officially released in November 2016. During the live session, we provided a quick overview of the New Evaluation Codes ONLY. Helene Fearon joined Kathleen Picard and the APTA Team of experts in responding to the questions posed prior to and during the live session. Learn more here.

New Evaluation Codes for 2017
This course is designed to introduce physical therapists to the new evaluation and reevaluation codes, and teach therapists how to select the appropriate evaluation code based on patient presentation. Even though the new evaluation codes are split into 3 levels: low, moderate and high complexity evaluation, the overall definition of the evaluation remains the same. Physical therapists will select the appropriate evaluation level based on the following components: patient history, examination, patient presentation, and complexity of clinical decision making. A feature of this course is a self-paced review of patient scenarios specific to a variety of physical therapist practice specialties: cardiovascular and pulmonary, geriatrics, neurology, orthopedics and pediatrics. Click here to participate.

Anthem Telehealth/Telemedicine Allowed Services
This list of CPT/HCPCS codes serves as a supplement to the list of CPT/HCPCS codes in the Related Coding section of the Virtual Visits policy and represents additional appropriate codes currently eligible for reimbursement unless provider or state contract language or state or federal requirements or mandates indicate otherwise. Eligible code list is subject to change.

Please visit APTA's coding and billing resource page for more information on coding, billing for services, FAQ's and much more.