ࡱ> OQLMN'` %bjbjLULU :6.?.?, , ,  %8̜4 /h222KKK$hc, @K22#482, 2V@ , ȶ2 pXFD dW<Px!ԥ !ȶ!, ȶ K0{"KKKKKK///N~///~@ d @   MaineCare coverage of Physical Therapy Services is limited. Refer to Chapter II, Section 85.06 for specific limitations Use the following modifiers when appropriate: TF Intermediate Level of care used for PT Assistants and priced 10% below the Allowance rate GP Services delivered under an outpatient physical therapy plan of care CODESERVICEUNITMAXIMUM ALLOWANCE97150 GPTherapeutic procedure(s), group (2 or more individuals)15 minutes$13.5897001Physical Therapy Evaluation per evaluation$ 40.0497002Physical Therapy Re-evaluation per evaluation$ 21.87THERAPEUTIC MODALITIES SUPERVISED97012Traction, mechanical15 minutes$ 6.9397014Electrical Stimulation (unattended)15 minutes$ 6.2397016Vasopneumatic devices15 minutes$ 6.9897018Paraffin bath15 minutes$ 3.3997022Whirlpool15 minutes$ 7.8497024Diathermy15 minutes$ 2.3397026Infrared15 minutes$ 2.16 CODESERVICEUNITMAXIMUM ALLOWANCE97028Ultraviolet15 minutes$ 2.91THERAPEUTIC MODALITIES CONSTANT ATTENDANCE97032Application of a modality to one or more areas; electrical stimulation (manual)15 minutes$ 7.6497033Iontophoresis15 minutes$ 11.0097034Contrast baths15 minutes$ 6.6797035Ultrasound15 minutes$ 5.4397036Hubbard tank15 minutes$ 11.75THERAPEUTIC PROCEDURES97110Therapeutic procedure, one or more areas; therapeutic exercises to develop strength and endurance, range of motion and flexibility15 minutes$ 13.2597112Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and proprioception for sitting and/or standing activities15 minutes$ 13.8497113Aquatic therapy with therapeutic exercises15 minutes$ 15.9397116Gait training (includes stair climbing)15 minutes$ 11.6297124Massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)15 minutes$ 10.65CODESERVICEUNITMAXIMUM ALLOWANCE97140Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions15 minutes$ 12.3997760Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk15 minutes$ 14.9497761Prosthetic training, upper and/or lower extremity(s)15 minutes$ 13.4397530Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance)15 minutes$ 14.0097532Development of cognitive skills to improve attention, memory, problem solving, (includes compensatory training,) direct (one-on-one) patient contact by the provider15 minutes$ 11.5397533Sensatory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact by provider15 minutes$ 12.2497535Self/care/home management training (e.g. activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact by provider15 minutes$ 14.2097542Wheelchair management(eg, assessment, fitting, training)15 minutes$ 12.96 CODESERVICEUNITMAXIMUM ALLOWANCEACTIVE WOUND CARE MANAGEMENT97597Removal of devitalized tissue from wound(s), selective debridement, without anesthesia (e.g. high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), with or without topical application(s) for ongoing care, may include use of a whirlpool, per session; total wound(s) surface area less than or equal to 20 square centimetersper session$ 26.1597598Removal of devitalized tissue from wound(s), selective debridement, without anesthesia (e.g. high pressure water jet with/without suction, sharp selective debridement with scissors, scalpel, and forceps), with or without topical application(s), wound assessment, and instruction(s) for ongoing care, may include use of a whirlpool, per session; total wound(s) surface area greater than 20 square centimeters per session$26.1597602Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (e.g., wet-to-moist dressings, enzymatic, abrasion), including topical applications(s), wound assessment and instructions(s) for ongoing careper session$ 18.72TESTS AND MEASUREMENTS97762Check out for orthotic/prosthetic use, established patient15 minutes$ 14.7997750Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report15 minutes$ 13.77 CODESERVICEUNITMAXIMUM ALLOWANCE97755Assistive technology assessment (e.g. to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact by provider, with written report 15 minutes$ 16.0492605Evaluation for prescription of non-speech-generating augmentative and alternative communication device15 minutes$ 38.0792607Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with patient; first hour60 minutes$ 68.5292608Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with patient; each additional 30 minutes30 minutes$ 13.23MUSCLE AND RANGE OF MOTION TESTING95831Muscle testing, manual (separate procedure) with report; extremity (excluding hand) or trunk15 minutes$ 12.6395832Muscle testing, manual (separate procedure) with report; extremity - hand, with or without comparison with normal side15 minutes$ 11.5395833Muscle testing, manual (separate procedure) with report; total evaluation of body, excluding hands15 minutes$ 17.8595834Muscle testing, manual (separate procedure) with report; extremity (excluding hand) or trunk total evaluation of body, including hands15 minutes$ 21.04  CODESERVICEUNITMAXIMUM ALLOWANCE95851Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine)15 minutes$ 8.3495852Range of motion measurements and report (separate procedure); each extremity hand, with or without comparison with normal side15 minutes$ 6.49CENTRAL NERVOUS SYSTEM ASSESSMENTS/TESTS (e.g. NEURO-COGNITIVE, MENTAL STATUS, SPEECH TESTING)96110Developmental testing; limited (e.g. Developmental Screening Test II, Early Language Milestone Screen) with interpretation and report15 minutes$ 5.1696111Developmental testing; limited (e.g. Developmental Screening Test II, Early Language Milestone Screen) with interpretation and report extended (includes assessment of motor, language, social, adaptive and/or cognitive functioning by standardized developmental instruments (e.g., Bayley Scales of Infant Development) with interpretation and report60 minutes$ 62.66     Effective 9/1/2010 SECTION 85 PHYSICAL THERAPY SERVICES LAST UPDATED 9/1/10  PAGE 2 Effective 9/1/2010 SECTION 85 PHYSICAL THERAPY SERVICES LAST UPDATED 9/1/10 Effective 9/1/2010 yZ [ h m    ! _ f iI?h(S_h(S_h JCJOJQJ^JaJcHdhdhdh &;jh(S_h(S_>*CJOJQJU^JaJmHnHtHu7jh(S_h(S_>*CJOJQJU^JaJmHnHu#h(S_h(S_>*CJOJQJ^JaJh(S_h(S_CJaJh(S_h(S_5>*CJ\aJ#h(S_h(S_5CJOJQJ^JaJ h(S_h(S_CJOJQJ^JaJh5CJOJQJ^Jyz Z [ ` h m  $IfgdQ $If$If @ !`'-h^hgdQ h^h`gdQ gdQ  @ !(h.gdQ  ]^gd $%% `PP==$ @ !`'-$Ifa$ @ !`'-$Ifkd$$IfTl\kV#U-} 014 layt(S_T `SC00$ @ !`'-$Ifa$ @ !`'-$If $IfgdQ kd$$IfTl\kV#U-} 014 layt(S_T `PP==$ @ !`'-$Ifa$ @ !`'-$Ifkd$$IfTl\kV#U-} 014 layt(S_T   `PP=$ @ !`'-$Ifa$ @ !`'-$Ifkd$$IfTl\kV#U-} 014 layt(S_T     J:: @ !`'-$Ifkdz$$IfTl\kV#U-} 014 layt(S_T$ @ !`'-$Ifa$gdQ   ! 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