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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.

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North Carolina PT Telehealth

The NC PT Practice Act and Board’s Rules apply to the delivery of physical therapy services via telehealth.  In response to your emailed question below, at its September Board meeting - 2018, NC Board of Physical Therapy Examiners considered some questions regarding the parameters of using telehealth in the provision of physical therapy services in North Carolina; the Board determined the following general principles will apply:

    • Telehealth is a delivery model for physical therapy services and as such it is not a question of scope of physical therapy practice. 
    • PT licensees must comply with the NC PT Practice Act and Board rules when performing physical therapy services using telecommunications. 
    • In order to provide physical therapy services to a patient geographically located in NC, the provider of telehealth services must possess an active NC PT license. 
    • To address questions of whether a PT licensee or other healthcare provider or non-healthcare individual must be with the patient in the remote location and the level of expertise that person needs, the answer depends on various factors, including the status and safety of the patient, whether it is an initial evaluation or ongoing treatment, and the complexity of the services being provided. 
    • For questions related to the use of telehealth in physical therapy practice in North Carolina that are not answered by these general principles, the Board will continue to respond to questions on a case-by-case basis. 


https://www.ncptboard.org/Announcements/Announcements.php#Telehealth%20Questions accessed March 23, 2020

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