CPT Codes For Physical Therapy 2012-2014 | Pop Quiz, February 2015

Pop Quiz:
Which two CPT codes combined were more than 50% of all claims from 2012-2014?

Answer: 97110 and 97140.

In the BESTPT billing network, what CPT codes were used during 2012, 2013, and 2014?

We saw some minor variations that can be attributed to Medicare regulation and reimbursement strategies. We saw more use of 97140 (Manual Therapy) from 2012-2014,  and less use of 97530 (Therapeutic Activities) for that same time period.

The average CPT collections per unit was $24.47 in 2012, $23.60 in 2013, and $23.82 in 2014. This is an average reduction of 3.5% from 2012 to 2013 and a modest 0.9% increase from 2013 to 2014.

CPT code pay per unit 2012-2014

CPT Codes Pay Per Unit 2012-2014

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I got so busy, my right hand didn’t know what my left hand was doing.


Have you ever been so busy that your right hand didn’t know what your left hand was doing?  It works for this cartoon, but I think this is talking more about a PT practice owner who can’t keep up with what his staff is doing.  If you used the bestPT billing software and a task manager, then a PT practice owner could actually see what everyone’s hands are doing. Have a laugh with “It’s a Stretch,” our weekly physical therapy cartoon. And be sure to let us know what you think in the Comments section. Share it with friends, colleagues and co-workers.

Physical Therapists Against Physician Owned Physical Therapy Services

There are two bills, AB 783 which would legalize physician-owned physical therapy services, and AB 374, which would license ATCs and allow consumers to “directly access” care provided by them. Both bills are coming from the CMA’s favorite legislator – Mary Hayashi.

We Need One Minute of Your Time to Sign the Petition:

“Recognizing the incongruity of POPTS and APTA’s/CPTA’s Vision 2020 that embraces the autonomous practice of doctorally prepared professionals, the inherent conflicts of interest existing within POPTS, the loss of patient’s right to choice of provider, and the increased cost to society identified resulting from POPTS, the APTA and CPTA have reaffirmed their decades-long opposition to physician-owned physical therapy services. APTA and CPTA support legislative and regulatory measures at the state and federal levels to ban physician ownership of physical therapy services.”

– Position on Physician-Owned Physical Therapy Services (POPTS) January 2005, APTA.

We ask that you consider signing this petition to demonstrate your support for Vision 2020 as well as your opposition to physician owned physical therapy practices.

Created by the California Private Practice Group

If you are opposed to this all out attack on our profession by Mary Hayashi and the CMA, you must sign the petition. Lack of action will result in the demise of our profession here in California. As our CPTA president said last week: “We are under attack”.


For your future, we ask you participate and get PT students to do so too.


Dave Powers, PT, DPT, MA, MBA,
California Private Practice Group

PS: If you think this is just hyperbole, think again.

  • Click here to listen to one of many examples of patient abuse.
  • Click here to read the deception that Hayashi and the CMA are putting out to convince legislators this is a “jobs” issue. You will find her press release on this blog and much more.
  • Click here then scroll to 8 minutes 17 seconds to listen about how doctors want to put practices out of business.

**Call in and voice your opinion – 877-772-9652**




Physical Therapy Curriculum | Board of Directors Updates Coursework

rehab, PT, physical therapy, software, billing, notes, SOAP notes, EMR, rehab-software, rehab-billing, rehab-notes, rehab SOAP notes, rehab-EMR, PT-software, PT-billing, PT-notes, PT SOAP notes, PT-EMR, Physical Therapy software, Physical Therapy billing, Physical Therapy notes, Physical Therapy SOAP notes, Physical Therapy EMRPhysical Therapy Curriculum updated.

At its October 11. 2007 conference call, the FSBPT Board of Directors increased the current credit requirements in the Coursework Evaluation Tool effective April 1, 2008:

  1. General coursework: From 54 to 60 credits
  2. Non Clinical Professional Education: From 46 to 67 credits
  3. Total Professional Education: From 69 to 90 credits
  4. Total General and Professional Education: From 123 to 150 credits

You can find a copy of the April 2008 Coursework Evaluation Tool (CWT) in the Regulatory Tools section to the left.

Rationale: The FSBPT Delegate Assembly adopted the 4th Edition Coursework Evaluation Tool (CWT) in 2004, and delegated the responsibility of reviewing and updating the CWT to the FSBPT Board of Directors. The current minimal standard for physical therapist education on the CWT is 54 credits in general education and 69 credits in professional education. The professional education credits include a minimum of 800 hours (16.6 credits) of supervised clinical training.

CAPTE adopted new criteria for physical therapy education programs in January 2006. This proposed increase reflects the current minimum credit hours in a US physical therapy education program as reported by CAPTE.

Note: This does not change the course content of the 4th Edition of the Coursework Evaluation Tool. It only changes the required credits in general and professional education. For this reason, the 4th Edition remains the current CWT. The Board of Directors is currently evaluating the need to change the course content based on when US trained physical therapy students will graduate from programs that have implemented the new 2006 CAPTE evaluative criteria. When this occurs, the Board will adopt the 5th Edition of the CWT.

Article Source:

Federation of State Boards of Physical Therapy

124 West Street South • Third Floor • Alexandria, VA 22314

Phone: 703-299-3100 • fax: 703-299-3110

copyright ©2003 – 2008 fsbpt

Caps on Physical Therapy Sessions Detrimental to Business Growth

This year has been a year of many changes to the medical system. While some of these changes have been beneficiary, a few have been detrimental to professions such as physical therapy. Many physical therapists are facing tough times today. The market is saturated with physical therapists but not enough patients. Laid off physical therapist Jessica Summers explains why.

A few years ago, patients had a cap on how many sessions were covered by their insurance. Medicare made exceptions for patients that suffered from physical ailments such as osteoporosis, Parkinson’s disease and stroke victims and granted them extensions because they were more likely to need more physical therapy sessions. However, as of October 2012, this is no longer the case.

On October 1, 2012, The Middle Class Tax Relief and Job Creation Act of 2012 (H.R. 3630) amendment was passed which states:

In applying this paragraph with respect to a request for an exception with respect to expenses that would be incurred for outpatient therapy services (including services described in sub- section (a)(8)(B)) that would exceed the threshold described in clause (ii) for a year, the request for such an exception, for services furnished on or after October 1, 2012, shall be subject to a manual medical review process that is similar to the manual medical review process used for certain exceptions under this paragraph in 2006. Middle Class Tax Relief and Job Creation Act of 2012

Because of this new amendment, patients that previously had extensions on their therapy sessions were cancelled and their insurance would no longer cover it. Additionally, patients who had exceeded their session limit had to be denied treatment because they could not afford the care.

According to Summers, patients can file an appeal to extend their coverage but because filing the claim and getting it through takes so long, most have been denied. Additionally, there is a typo in the law that makes Speech Therapy and Physical Therapy share a budget. This places a lot of physical therapists and patients in a tough situation. Summers posed the example of a stroke victim who can have multiple issues such as swallowing, walking and speech deficits. Because of the limit, she has to restrict which therapies she can provide and would have to decide which of these would be priority. Based on the previous example a patient would receive treatment for swallowing problem, but the walking and talking deficits would have to wait for another year.

Fortunately, the amendment which enforced the cap is up for vote in January. Jessica, along with many others in the medical profession are hoping for an extension. This would help bring more patients in and create a bigger demand and more jobs for physical therapists.