In last weeks article, “When to Bill For a Reevaluation”, I discussed when it would be appropriate to perform and bill for a reevaluation. In this weeks article, I want to teach you how to account for your time when you are gathering subjective comments from a patient or their caregiver as well as the time you spend gathering objective data to write a Progress Report that may be required by the insurance carrier (i.e. Medicare, Workers Compensation) or due to the patient having a return visit to their physician.
To begin, there is no CPT code that exists to specifically be able to bill for the purpose of gathering the data and the time associated with writing the Progress Report. There is no Progress Report or assessment CPT code. So then how does a therapist account for their time associated with all the components of the Progress Report?
The time a therapist spends with a patient or a patient’s caregiver gathering the subjective comments as well as the time associated with gathering the objective data such as range of motion measurements, manual muscle testing, edema measurements, posture assessment, gait assessment, etc., is added on to the CPT code(s) that was billed that date of service for that visit.
For example, during a follow-up treatment visit, the therapist spent
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.