Upcoming Webinars

Site Updates


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.

Log in

Log in

Georgia PT Direct Access and Referrals 

Is a referral required to provide PT services?

After twenty-one (21) days or eight (8) visits, a PT must refer to either a physician or a dentist (if applicable).

The PT 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.

The PT must hold doctorate in physical therapy or equivalent degree from an accredited institution plus two (2) years of clinical practice experience and

    • Post graduate certification;
    • American Board of Physical Therapy Specialties Board Certification; or
    • Residency or fellowship training; or
    • Five years of clinical practice experience.

Exceptions to the referral requirement?

In the case of services provided for health promotion, wellness, fitness, or maintenance purposes, in which case the physical therapist shall refer a client seen  for health promotion, wellness, fitness, or maintenance purposes to an appropriate individual licensed as a physician or physician assistant if the client exhibits or develops signs and symptoms beyond the scope of practice of the physical therapist.

In the case of a patient diagnosed within the previous nine (9) months with a neuromuscular or developmental condition when the evaluation, treatment, or services are being provided for problems or symptoms associated with that previously diagnosed condition; or

In the case of a patient diagnosed within the previous 90 days with a chronic musculoskeletal condition and noted by a current relevant document from an appropriate licensed health care provider.

Preventative Services

A licensed physical therapist or a licensed physical therapist assistant under the supervision of an appropriately licensed physical therapist may perform Preventative services that are not considered "implementing a program of physical therapy treatment without consultation."

“Preventative services" is defined as the use of physical therapy knowledge and skills by a physical therapist or physical therapist assistant to provide education or activities in a wellness or community setting for the purpose of injury prevention, reduction of stress and or the promotion of fitness, but does not include administration of physical therapy treatment.

When does a PT have to refer a patient to a physician?

After twenty-one (21) days or eight (8) visits, a PT must refer to either a physician or a dentist (if applicable).

A PT may not perform dry needling on a patient without consulting a physician or physician assistant.


Ga. Code Ann. § 43‐33‐18

Ga. Comp. R. & Regs. R. 490-10-.01

About Us

Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

Learn More 

Join Us

Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars.  Members also have access to compliance and billing support.

Join Today 

Find Us

Powered by Wild Apricot Membership Software