Functional Limitation Reporting Under Medicare

Getting Started

Frequently Asked Questions

FAQ: General Information About Functional Limitation Reporting Members Only Icon

FAQ: Documentation of the Functional Codes Members Only Icon

FAQ: G-Code Billing and Claims Submission Members Only Icon

Problems With Reporting

Some physical therapists (PTs) have experienced processing delays and errors on functional limitation reporting claims. PTs should first review their claims for common errors and mistakes. (Use the FAQs above and the resources below.) If after doing so, APTA assistance or guidance is needed, please complete the online complaint form below. A member of APTA staff will contact you.

Read APTA's Letter to CMS Regarding FLR Challenges Faced by Health Care Provider (.pdf) - 5/2/14

Read PT in Motion News: UnitedHealthcare Delays Requirement for Functional Limitation Reporting - 8/4/14

General Information

Documentation Guidelines

Case Scenarios

Tests and Measures Resources

CMS Resources: Outpatient Therapy Services

Contact APTA Staff

  • Online Complaint Form

    Use this form as the starting point to gain assistance and/or guidance from APTA staff with issues you're experiencing with Medicare functional limitation process for 2013 or 2014.

Discussion Forum

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