Physical Medicine Therapies Codes 2025

Physical therapy evaluation; low complexity, requiring these components:

A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family

Physical therapy evaluation; moderate complexity, requiring these components:

A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized test and measure in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions;

An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 30 minutes are spent face-to-face with the patient and/or family

• Physical therapy evaluation; high complexity, requiring these components:A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care;
• An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions;
• A clinical presentation with unstable and unpredictable characteristics; and
• Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome
• Typically, 45 minutes are spent face-to-face with the patient and/or family

Re-evaluation of physical therapy established plan of care, requiring these components:

• An examination including a review of history and use of standardized tests and measures is required; and
• Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome

Typically, 20 minutes are spent face-to-face with patient and/or family

Therapeutic activities, direct (one-on-one) patient contact by the provider (use of

dynamic activities to improve functional performance), each 15 minutes

Self-care/home management techniques to enhance sensory processing and promote

adaptive responses to environmental demands, direct (one-on-one) patient contact by the provider, each 15 minutes

Wheelchair management (e.g., assessment, fitting, training), each 15 minutes

Orthotic(s) management and training (including assessment and fitting when not

otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes

Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower

extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes