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 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ************************************************************************************** --------------------------------- Pinpoint customers who are looking for what you sell. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
