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Understanding PT Evaluation Codes: Case Scenarios

Presented by Rick Gawenda

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This course will teach participants the four components that must be met and documented in the medical record to report the appropriate physical therapy evaluation complexity level. The course will teach participants how patient personal factors and/or comorbidities may impact the physical therapy plan of care. The course will provide examples of evolving and changing characteristics and unstable and unpredictable characteristics that will enable the physical therapist in selecting the appropriate clinical presentation level. Finally, this course will use case scenario’s in orthopedics, pediatrics, and neurology to teach participants how to determine the appropriate complexity level and the documentation that must be present in the medical record to support their choice.

Meet your instructor

Rick Gawenda

Rick Gawenda is founder and president of Gawenda Seminars & Consulting, Inc. He graduated in 1991 with a Bachelor of Science in physical therapy from Wayne State University in Detroit. Rick is director of finance for a physical therapist–owned private practice with multiple offices located in Southern California. In addition,…

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Chapters & learning objectives

Introduction to the Physical Therapy Evaluation Codes

1. Introduction to the Physical Therapy Evaluation Codes

This chapter will teach participants the four components of the physical therapy evaluation CPT codes and the minimum requirements that must be met for each component to bill that complexity level.

What are Elements and How Do We Count Them?

2. What are Elements and How Do We Count Them?

This chapter will focus on the examination component of the physical therapy evaluation and teach participants what are elements and how do you count them. The chapter will define and show examples of what are body structures, body functions and activity limitations and participation restrictions.

Physical Therapy Evaluation and Clinical Presentation

3. Physical Therapy Evaluation and Clinical Presentation

This chapter will focus on the clinical presentation component of the physical therapy evaluation. Examples of stable, evolving and changing characteristics and unstable and unpredictable characteristics will be provided to assist the physical therapist in selecting the appropriate complexity level for clinical presentation.

Physical Therapy Evaluation Case Scenarios: Pediatrics and Neurology

4. Physical Therapy Evaluation Case Scenarios: Pediatrics and Neurology

This chapter will provide case scenario’s that will teach physical therapists how to select the appropriate evaluation complexity level based on their documentation. Examples will include pediatrics and neurology.

Physical Therapy Evaluation Case Scenario’s Orthopedics

5. Physical Therapy Evaluation Case Scenario’s Orthopedics

This chapter will provide case scenario’s that will teach physical therapists how to select the appropriate evaluation complexity level based on their documentation. Examples will focus on orthopedics.