Category: Physical Therapy

Dynamic activities to improve functional performance, each 15 minutes with one-on-one patient contact.

Effleurage, petrissage, and/or tapotement (stroking, compression, percussion) with one-on-one patient contact.

Techniques like mobilization and manipulation, manual lymphatic drainage, and manual traction; one or more regions, each 15 minutes with one-on-one patient contact.

Movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities with one-on-one patient contact.

One or more areas, each 15 minutes; therapeutic procedures to develop strength and endurance, range of motion, and flexibility with one-on-one patient contact.

Application of infrared therapy is considered medically necessary for patients requiring the application of superficial heat in conjunction with other procedures or modalities to reduce or decrease pain/produce analgesia or reduce stiffness/tension, myalgia, spasm, or swelling.

Use of vasopneumatic devices for cupping; may be considered reasonable and necessary for the application of pressure to an extremity for the purpose of reducing edema.

Application of a modality to one or more areas; hot or cold packs.

One or two muscles.

Tendon sheath, or ligament, aponeurosis (e.g., plantar “fascia”)