• News New Blog Banner

  • Changes to CPT Editorial Process Emphasize Transparency

    Recently announced changes to the American Medical Association's (AMA's) Current Procedural Terminology (CPT) editorial process emphasize greater transparency and collaboration, and could bolster opportunities for physical therapists (PTs) to work with APTA to ensure the codes accurately reflect practice.

    The changes put in place are the result of input received by AMA from stakeholder organizations. According to an AMA press release, the new approaches are designed to "increase transparency and fairness" in the process through more in-person meetings beyond the CPT editorial and advisory committee, more wide and proactive communication about requested code changes, and the establishment of a "medical advisor" to facilitate the process with staff and applicants new to the CPT process.

    APTA works closely with AMA and other associations during the CPT editorial process, and relies on input from PTs to get the best possible information on how the system works at the individual practitioner level. The information received by APTA is extremely important to the work the association is doing on the Physical Therapy Classification and Payment System.

    APTA continues to work toward an accurate payment system that recognizes and promotes the clinical judgment of the physical therapist as well as improving quality of care. Contact advocacy staff with your questions.


    • Much of my practice is devoted to patient education. Education of the diagnosis( i.e., natural history of the condition or disease), system function (i.e., proper breathing patterns, pelvic floor function), optimal movement patterns (i.e., anatomy and kinesiology basics), prevention, and a plethora of information regarding health, wellness, and fitness. Education is a primary service we provide. What is the code for education? How do we bill for this skilled intervention?

      Posted by Carrie Hall on 1/18/2014 12:48 PM

    • Carrie: You are welcome to contact APTA's advocacy staff with questions via the e-mail link provided in the article above.

      Posted by News Now Staff on 1/21/2014 8:01 AM

    • I recently read a document put out by APTA that patient education should be billed as a part of the main treatment code you are using with the patient - e.g., ther. ex. activity with the patient would allow patient education billable under ther. ex. for the appropriate number of time units. The same with manual therapy, neuromuscular re-education, etc.

      Posted by Gordon Oakes on 1/21/2014 8:04 PM

    • Gordon: There is a document available to APTA members on “Coding for Patient/Client Education.” It can be found in the Frequently Asked Questions section near the bottom of this page: http://www.apta.org/Payment/CodingBilling/.

      Posted by News Now on 1/23/2014 9:37 AM

    Leave a comment
    Name *
    Email *