Therapy Billing Codes for Wheelchair Seating and Mobility Services


Credits: .1 CEU
Presenter: Barbara Crume, PT, ATP



Correct coding and documentation for therapy reimbursement is critical to the success of any outpatient clinic or home health provider. This course includes information on Current Procedural Terminology (CPT) and how to use these codes for wheelchair seating and mobility services. In addition will discuss how to document the evaluation and treatment intervention to demonstrate provision of skilled care and use of the CPT Codes. Many consumers with complex functional mobility needs depend upon dedicated Seating and Wheeled Mobility (SWM) Clinics for specialty CRT clinical services. SWM Clinics are increasingly under scrutiny to demonstrate cost- effectiveness or risk closure. This course provides information to support proper coding and documentation to enhance efficiencies for sustainable clinical CRT services.

Learning Outcomes:

The participant will be able to describe and understand the use of CPT codes for assistive technology service provision and recognize common restrictions for each of these codes including units billed per visit and combining of CPT codes.
The participant will be able to recognize and understand the combination of codes and reimbursable amount based on codes used.
The participant will be able to describe and implement the necessary components of documentation to support skilled therapy services for reimbursement and to obtain funding approval for assistive technology.

Barbara Crume, PT, ATP, earned her Bachelor’s Degree in Physical Therapy from the Medical University of South Carolina in 1982, became Pediatric NDT Certified in 1988 and RESNA Certified as an Assistive Technology Professional in 1997. She has been employed with CarePartners Health Services in Asheville, NC for over 33 years. Barbara provides evaluations, fittings and training for clients of all ages and all diagnoses to obtain manual and power wheelchairs with custom seating. She works closely with a variety of suppliers and consults with manufacturers on product development. She has presented courses at Medtrade, International Seating Symposium, RESNA Annual Conferences and APTA CSM. She has taught several webinars through NRRTS and RESNA. She is an active participant in the Coalition to Modernize Medicare Coverage of Mobility Products Clinician Task Force.