LANDSTUHL, Germany (Oct. 16, 2008) Physical therapist Lt. Cmdr. Mitchel Ideue, Officer in Charge of Inpatient Services at Landstuhl Regional Medical Center, in Landstuhl, Germany, gives Army Sgt. Charlie McCall a physical therapy treatment. (U.S. Army photo by Michelle Barrera) (Photo credit: Wikipedia)
Purpose of this post: Business Purpose: When, Why and How should we bill for 97112? (97112 is the CPT code for Neuromuscular Rehabilitation (NMR)
Second Purpose of this post: Physical Therapist Focus: Impact of NMR and its usefulness for the patient undergoing physical therapy.
Few days ago I got a patient with ankle sprain injury. The patient is young male (22 y/o) who sprained his ankle while playing basket-ball. The patient sustained a Grade -3 sprained (no surgery done) was referred for Physical Therapy. Well, my first observation
US Navy 071015-N-5086M-211 Air Force Capt. David K. Berling performs abdominal training with a medicine ball during routine therapy in the new Comprehensive Combat and Complex Casualty Care (C5) at Naval Medical Center San Dieg (Photo credit: Wikipedia)
when the patient entered the clinic the first thing I observed was his three-point-gait pattern using the axillary crutches. On palpation and examination the patient showed the end-results of extreme pain on the lateral aspect of the right ankle. The injury was one week old and I could clearly see that the patient was depressed, agitated and irritated. When I asked the patient about his expectation or goals for physical therapy the patient stated that he wants to become normal a.s.a.p. and return back to his active life of playing basket-ball. We started with Physical Therapy Regimen including passive range of motion exercises, strength training along with therapeutic modalities.
After two weeks of physical therapy the patient reported the pain scale of 6/10, the patient was able to stand without crutches on the parallel bar for 10 mins, the patient was able to negotiate stairs with rail support ( 4 steps of stairs *3 times). Later that day after completing the therapy I billed for 97112 for this patient (I will discuss later why I did 97112). One of my colleagues seemed not to be too happy when I billed 97112. She came to me and asked me why I billed for 97112 when the patient did not have any neurological problem and the problem was musculoskeletal injury.
Most of the Physical Therapists would question me while reading this post. I know the answer but I would go in more depth to elaborate the cause and effect relationship of 97112 (NMR). I am indeed very excited to know your views after you read in depth about 97112. We as PTs need to be aware what we are billing for, why we are billing for and how we are billing for. Not only PTs but I also want public to know about the procedures of physical therapy to know what procedures and how they can benefit from the therapy. Before educating our patients I suggest it is must that we know in depth about the therapy that we provide. Continue reading