Cimberly,
   
  Firstly, you can treat them all too.  Secondly, is this PT stating he is more 
qualified to do OT?  If so, ask him when the last time he did this is.  Then 
promptly report him to whatever board licenses OT in your state.
  Jim Arceneaux

Cim Viken <[EMAIL PROTECTED]> wrote:
  To clarify previous post, examples of Primary Medical diagnosis code are
714.0 rheumatoid arthritis, 438 Late effects of CVA, 

Examples of "treatment (or therapy) diagnosis code" are 719.7 Difficulty in
walking, 438.81 apraxia, 728.87 muscle weakness. I work in hospital setting
where coder enter the diagnoses from our evaluations. 



The definitions of these are quoted from Rick Gawenda, PT course "Outpatient
Therapy CPT coding billing and documentation for Rehabilitation
Reimbursement." 

Primary medical diagnosis: this item indicates the medical DX that has
related in the therapy disorder and which is most closely related to the
current plan of care for therapy. If more than one diagnosis is treated
concurrently, the provider enters the diagnosis that represents the most
intensive services (over 50 percent of the rehabilitation effort.



Treatment diagnosis: This item indicates the DX for which rehabilitative
services were furnished. For example, while CVA may be the primary medical
DS hemiplegia might be the PT/OT treatment DX. 





I guess the bottom line is I have a PT claiming OT and PT can't treat some
of same diagnoses. Examples are MS, muscle weakness, Lumbar stenosis, 

My argument is PT and OT have different scope of practices. PT works on
exercises and mobility. OT treats occupational performance. Sometimes it's
ok for OT and PT to work with the same patient depending of the complexity
of diagnosis and overall patient's problem list/goals. (I also am stressing
the word sometimes) In other words, this PT claims he can treat them all
and he is more qualified. 



So what are your experiences or opinions? 

Thank you. 



Cimberly Viken, OTR/L



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