The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
Georgia Physical Therapy Direct Access
In order to see a patient who has self-referred (direct access) a physical therapist must:
Have a doctorate in physical therapy or equivalent degree from an accredited institution plus two years of clinical practice experience;
A doctorate in physical therapy or equivalent and:
Must provide each self-referred patient with a written disclosure that a physical therapy diagnosis is not a medical diagnosis by a physician or based on radiological imaging and that such services might not be covered by the patient's health plan or insurer;
Must refer the patient to a licensed dentist or a licensed physician if at any time the physical therapist has reason to believe that the patient has symptoms or conditions that require treatment beyond the scope of practice of the physical therapist;
Regardless of the patient's condition, if after twenty-one (21) days or eight (8) visits from the initiation of a physical therapy plan of intervention, the physical therapist has not received a referral from the patient's provider.
The day and visit limitations shall not apply
O.C.G.A § 43-33-18