Health Information Management

Q/A: Can we use the same functional G codes for all therapies?

APCs Insider, June 28, 2013

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Q:  Can we use the same functional G codes for all therapies?

A:  No, there are two sets of codes – one designed for physical (PT) and occupational therapy (OT) and a second set for speech language pathology (SLP). 

The codes are based on functional limitations, or physical limitations, such as walking, moving around, changing body position, or carrying objects.  These limitations would apply to PT and OT treatments, but not SLP. 

SLP codes are based on swallowing, motor speech, spoken language comprehension, memory, and attention.  These are examples of the types of codes but not a comprehensive listing.

The modifiers are the same across the therapies and based on the percentage and severity of the limitation/restriction exhibited by the beneficiary.

Editor’s note: Andrea Clark, RHIA, CCS, CPCH, chairman, CEO, and founder of Health Revenue Assurance Associates, Inc., in Plantation, FL, answered this question.



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