has created 4 additional case scenarios to help physical therapists comply with
functional limitation reporting requirements under Medicare. Each scenario includes a description of
the patient and data and documentation requirements that physical therapists
must meet at the initial evaluation, 10th visit, and discharge. Examples of
charge forms for the 3 visits and a summary of reporting also are available for
scenarios are: multiple sclerosis, establishing a maintenance plan/no function
change; diabetic foot ulcer, functional limitations; diabetic foot ulcer, no
limitation; and neck pain.
scenarios will be posted in the near future.
limitation reporting on claim forms began January 1. A testing period is in
effect until July 1. After July 1, claims submitted without the appropriate
G-codes and modifiers will be returned unpaid.