Proposed Medicare Fee Schedule Maintains—and Sometimes Increases—Payment for Codes Related to Physical Therapy

Proposed Medicare Fee Schedule Maintains—and Sometimes Increases—Payment for Codes Related to Physical Therapy

No cuts. And even a few increases.

That’s the major takeaway from the proposed Medicare 2018 physician fee schedule released by the US Centers for Medicare and Medicaid Services (CMS). It’s a plan that settles questions about potentially “misvalued” current procedural terminology (CPT) codes by generally accepting work relative value units (RVUs) that had been proposed by an American Medical Association (AMA) advisory committee that worked closely with APTA.

Under the proposed fee schedule, 13 of 19 CPT codes frequently used by physical therapists (PTs) will retain their 2017 RVUs, with the remaining 6 seeing slight increases. Additionally, RVUs for 2 codes associated with the management and training of patients with orthotics or prosthetics were increased, and a new code was added (977X1, intended for use on a “subsequent encounter” or different date of service from the initial encounter).

Full story of Medicare payment codes related to PT at APTA

ByFlex Therapist

FlexTherapist CEUs provides professional online training to Physical Therapists and Physical Therapist Assistants. Our courses are approved by boards throughout the United States for CE renewal. We blog about news and research related to the field of physical therapy that will keep licensed professionals informed.