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PTP Practitioner Edits 

These PTP code pair edits are applied to claims submitted by physicians, non-physician practitioners, and Ambulatory Surgery Center (ASCs). 

Updated: January 5, 2021

Physical Therapy Evaluations and Reevaluations

  • PT Eval; low complexity
  • PT Eval; med complexity
  • PT Eval; high complexity
  • PT Reevaluation

Occupational Therapy Evaluations and Reevaluations

  • OT Eval; low complexity
  • OT Eval; med complexity
  • OT Eval; high complexity
  • OT Reevaluation

Therapeutic Procedures

  • Therapeutic Exercise
  • Neuromuscular Reeducation
  • Aquatic Therapy
  • Gait Training
  • Massage Therapy
  • Therapeutic Intervention; 15 min
  • Therapeutic Intervention; add 15 min
  • Physical Medicine Procedure
  • Manual Therapy
  • Group Therapy
  • Therapeutic Activities


  • Hot or Cold Packs
  • Mechanical Traction
  • Vasopneumatic Devices
  • Paraffin Bath
  • Whirlpool
  • Diathermy
  • Ultraviolet
  • Electrical Stimulation (manual)
  • Iontophoresis
  • Contrast Baths
  • Ultrasound
  • Hydrotherapy
  • Electrical Stimulation (unattended)
  • Electrical Stimulation (Non wound)


  • Biofeedback Modality
  • Biofeedback Training; initial 15 minutes
  • Biofeedback Training; each additional 15 minutes

Wound Care

  • Removal Devitalized Tissue 20cm/<
  • Removal Devitalized Tissue addl 20 cm<
  • Wound Care (non-selective)
  • Negative Press Wound tx < 50 cm
  • Negative Press Wound tx > 50 cm
  • Negative Press Wound tx </=50 sq cm
  • Negative Press Wound tx >50 cm
  • Low Frequency, Non-Contact, Ultrasound 

Range of Motion and Canalith Repositioning 

    • Range of Motion Measurements 
    • Range of Motion Measurements; hand
    • Canalith Repositioning
    • Cognitive Test

ADL and Work Conditioning

  • Sensory Integrative Techniques
  • Self-Care Management
  • Community/Work Integration
  • Wheelchair Management Training
  • Work Hardening

Assessment and Orthotics/Prosthetics

  • Physical Performance Test
  • Assistive Technology Assessment
  • Orthotic Management
  • Prosthetic Management
  • Orthotic/Prosthetic Checkout

Speech Therapy

  • Treatment of Speech; individual
  • Treatment of Speech; group
  • Laryngeal Function Studies
  • Evaluation of Speech Fluency
  • Evaluation of Speech Sound Production
  • Evaluation of Speech with Evaluation of Language Comprehension
  • Behavioral and Qualitative Analysis of Voice and Resonance
  • Treatment of Swallowing Dysfunction
  • Evaluation for Use and/or Fitting of Voice Prosthetic Device
  • Evaluation for Prescription of Speech-Generating AAC Device; first hour
  • Evaluation for Prescription of Speech-Generating AAC Device; each additional 30 minutes
  • Therapeutic Services for Use of Speech-Generating Device
  • Evaluation of Oral and Pharyngeal Swallowing Function
  • Motion Fluoroscopic Evaluation
  • Endoscopic Swallow Evaluation (FEES)
  • Laryngeal Sensory Testing
  • Flexible Fiberoptic Endoscopic Evaluation (FEESST)
  • Assessment of Aphasia
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