Any trouble with insurance issues with reimbursement regarding bike fit? Do you bill the same CPT codes as with regular PT?
Answer
How we deal with this issue is if a person has a diagnosis, and you will have to kind of deal with this from a State by State issue, for example of anterior knee pain and it is coming from their physician that the best way you can educate your patients and referral resources is that this is a biomechanical evaluation of function or dysfunction. The most efficient and effective way of managing this as supported in literature is looking at bike fit or bike function. When you look at reimbursement, as long as you can diagnose or have a diagnostic code you are working on and demonstrate that there is support, and oftentimes people will need support from the primary care physician, if the primary care physician is on-board with this and understands its effective means, then it is not a problem. You are doing an evaluation and therapeutic activities with this person or neuromuscular re-education to get them to pedal more effectively, efficiently and to remove irregular pathomechanics. It is really no different than how we look at the injured runner and evaluate their function and dysfunction, or the injured thrower who you have to look at how they are throwing in order to best understand how they became injured. There should not be any problems as long as you are focusing on the function, dysfunction, and diagnosis code with regards to the evaluation of this bicyclist.
Erik Moen, PT
Erik Moen PT is the owner of Corpore Sano Physical Therapy (www.CorporeSanoPT.com) and BikePT (www.BikePT.com) in Kenmore, WA. BikePT is the definitive education source on bicycling related injuries, treatment, and bicycling biomechanics, for healthcare professionals and all bicyclists. Erik holds degrees from Pacific Lutheran University (Biology) and the University of Washington (PT). Erik is an active member of the American Physical Therapy Association, USA Cycling, and North American Spine Society. Erik’s bicycle background includes; athlete, coach, soigneur for 2008 Paralympic games (USA Paracycling), educator and current Classifier for Paracycling.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/bicycling-positioning-posture-and-function-3188Bicycling Positioning, Posture, and Function; Their Roles in Healthy BicyclingThis course will discuss the roles of bicyclist positioning, postures, and function on the health of the bicyclist. Injuries common to endurance bicycling, their pathomechanics and typical physical therapy treatment will be described. This course is directly related to the practice of physical therapy and athletic training and therefore appropriate for the PT, PTA and AT.auditory, textual, visual
This course will discuss the roles of bicyclist positioning, postures, and function on the health of the bicyclist. Injuries common to endurance bicycling, their pathomechanics and typical physical therapy treatment will be described. This course is directly related to the practice of physical therapy and athletic training and therefore appropriate for the PT, PTA and AT.
2https://www.physicaltherapy.com/pt-ceus/course/put-down-drugs-evidence-based-3072Put Down the Drugs: Evidence-Based Interventions to Reduce Unwanted Behaviors with DementiaPTs can apply evidence-based interventions to improve dementia care. This session reviews the etiology of common behaviors. Cognitive-emotion, multi-sensory, animal-assisted, and exercise interventions to reduce agitation are discussed as well as specific strategies for improving task-related engagement. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.auditory, textual, visual
PTs can apply evidence-based interventions to improve dementia care. This session reviews the etiology of common behaviors. Cognitive-emotion, multi-sensory, animal-assisted, and exercise interventions to reduce agitation are discussed as well as specific strategies for improving task-related engagement. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.
3https://www.physicaltherapy.com/pt-ceus/course/supporting-lgbtq-senior-in-healthcare-4096Supporting the LGBTQ Senior in HealthcareThis training describes the required elements for responding to the emerging needs of long term care communities to provide sensitive and respectful services to LGBT elders. The training reviews definitions related to sexual orientation and gender identity challenges experienced by LGBT older adults, and strategies for communication and policies that honor residents' rights. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.auditory, textual, visual
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4https://www.physicaltherapy.com/pt-ceus/course/alzheimer-s-and-other-dementias-4864Alzheimer's and Other Dementias: Overview for Healthcare ProfessionalsAn overview for healthcare professionals about Alzheimer’s disease and related disorders is provided in this course. Characteristics of the dementias, such as symptoms, progression, and how they are diagnosed, are described. Care planning strategies for improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence are also discussed.auditory, textual, visual
An overview for healthcare professionals about Alzheimer’s disease and related disorders is provided in this course. Characteristics of the dementias, such as symptoms, progression, and how they are diagnosed, are described. Care planning strategies for improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence are also discussed.
5https://www.physicaltherapy.com/pt-ceus/course/clinical-use-reformer-for-lower-3329Clinical Use of the Reformer for the Lower BodyThe reformer is an effective tool for rehabilitating the lower body. This course will provide exercises appropriate for progressing lower extremity rehab from ankle injury, to post-op knees, to hip pain. Exercises focus on the concepts of motor control, stability/mobility system balance, movement competency and training functional movement patterning. This course is part three of our four part series on Pilates. This course is directly related to the practice of physical therapy and athletic training and therefore appropriate for the PT/PTA and AT.auditory, textual, visual
The reformer is an effective tool for rehabilitating the lower body. This course will provide exercises appropriate for progressing lower extremity rehab from ankle injury, to post-op knees, to hip pain. Exercises focus on the concepts of motor control, stability/mobility system balance, movement competency and training functional movement patterning. This course is part three of our four part series on Pilates. This course is directly related to the practice of physical therapy and athletic training and therefore appropriate for the PT/PTA and AT.