The
first section of this information is available in the SENSORY
INTEGRATION - SPECIAL INTEREST SECTION QUARTERLY Volume 22, number 1
March, 1999. Published by the American Occupational Therapy
Association, Inc.
"Insurance Reimbursement Survey Results"
Use of Codes for Diagnosis
and Treatment
ICD-9 Diagnostic Codes:
299.0 Autism
299.8 Pervasive Developmental Disorder/Asperger's Syndrome
314.0 Attention Deficit Disorder
314.01 Attention Deficit Disorder with Hyperactivity
315.4 Developmental Coordination Disorder
315.8 Delay in Development (specified)
315.9 Delay in Development (unspecified)
343.9 Cerebral Palsy
759.83 Fragile X Syndrome
781.3 Lack of Coordination
784.69 Motor Apraxis
742.9 Unspecified Anomaly of the Brain, Spinal Cord and
Nervous System
349.9 Unspecified Disorders of the Nervous System
782.0 Disturbance of Skin Sensation
781.0 Tremors Nervous system
348.3 Encephalopathy
382.9 Otitis Media
CPT Codes For Billing:
97110 Therapeutic Exercises (procedures)
97112 Neuromuscular Re-Education
97530 Therapeutic Exercises (activities)
97770 Self-Care/Home Management
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
In a sample Private OT, these are the evaluation and treatment codes
most frequently used...
Evaluation Codes:
96110 OT Eval- developmental assessment
interpretation, report
96111 OT Eval- extended standardized developmental
instruments
96115 Neurobehavioral status exam with interpretation report
96117 Neuropsychological testing with interpretation report
97003 Medicaid/CMS Evaluation
Treatment Codes:
97110 Therapeutic Procedure - develop
strength/endurance. ROM/flex
97112 Neuro-muscular Re-Education - balance, coordination,
proprioception
97250 Myofascial Release/Mobilization - hand, wrist
97265 Joint Mobilization - hand, wrist
97504 Orthotics Fitting - upper/lower extremity
Submitted By Michelle Morris 2006.
