Billing and Coding for Pros

CPT stands for.... (type your response in lowercase letters)

CPT codes used by OT practitioners are used for billing in all settings.

• True

• False

All of these are procedure-based (not time-based) CPT codes EXCEPT:

• Evaluation (low, moderate, or high complexity)

• Re-evaluation

• Self-care/home management training

• Hot pack

Timed CPT codes are generally ___ minute units of time, and you must provide at least ___ minutes of treatment to apply a CPT code.

For 37 minutes of total therapy time, you can apply __ time-based CPT codes.

• 1

• 2

• 3

• 4

What does it mean to say OT practitioner productivity expectations are 75%?

• You must be in activities that you can bill for 75% of the time, so if you work an 8 hour day, 6 hours must be spent in billable time.  That equates to 24 units.

• You must be in activities that you can bill for 75% of the time, so if you work an 8 hour day, 6 hours must be spent in billable time.  That equates to 6 units.