Physical Therapy

active

URL

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.1802

Version

20200717

PublisherLewin EH StewardDate2020-07-17T01:00:32-04:00Description

This value set is used to calculate OP-8 (MRI Lumbar Spine for Low Back Pain), a claims-based measure used in the Centers for Medicare & Medicaid Services' Hospital Outpatient Quality Reporting (HOQR) Program. In calculation of OP-8, claims for physical therapy must appear in the 60 days preceding the MRI lumbar spine study to be considered an attempt at antecedent conservative therapy.

Purpose

(Clinical Focus: This set of values contains CPT codes for physical therapy.),(Data Element Scope: The intent of this data element is to identify patients with evidence of physical therapy, which should occur in the 60 days preceding an MRI lumbar spine study.),(Inclusion Criteria: CPT codes for physical therapy are included in this value set.),(Exclusion Criteria: CPT codes not associated with physical therapy are excluded from this value set. Terminologies other than CPT are also excluded from this value set.)

Expansion

Code	Display	System
97110		http://www.ama-assn.org/go/cpt
97113		http://www.ama-assn.org/go/cpt
97112		http://www.ama-assn.org/go/cpt
97124		http://www.ama-assn.org/go/cpt
97140		http://www.ama-assn.org/go/cpt

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    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "97112",
      "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",
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      "code" : "97124",
      "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",
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      "code" : "97140",
      "display" : "Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",
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