What is the postsurgical physical medicine treatment period?
A. It is the time interval that physical medicine treatment can be provided as an exception to the 24-visit cap. It begins on the date of surgery and ends within the time interval for the specific surgery as defined in the regulations. During the postsurgical physical medicine treatment period postsurgical treatment and rehabilitation services may be provided and these visits do not count against the statutory cap. After the postsurgical physical medicine treatment period ends, additional therapy visits will come from any visits remaining under the 24-visit cap. If the surgical procedure is not addressed in the postsurgical treatment guidelines, the postsurgical physical medicine period is six (6) months.
Related Questions
- Can a speech-language pathologist use 97000 codes (physical medicine), and should they be billed in place of, or with, speech-language treatment codes?
- Is the request for approval of postsurgical physical medicine under the postsurgical treatment guidelines subject to utilization review?
- Who can determine whether postsurgical physical medicine is appropriate?
