PhysicalTherapy.com Phone: 866-782-6258


Insurance and Reimbursement Regarding Bike Fit

Erik Moen, PT

December 22, 2014

Share:

Question

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

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

Supporting the LGBTQ Senior in Healthcare
Presented by Kathleen D. Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS
Recorded Webinar

Presenter

Kathleen D. Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS
Course: #4096Level: Intermediate2 Hours
  'I did appreciate the older adult perspective of the LGBTQ population'   Read Reviews
This 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.

Alzheimer's and Other Dementias: Overview for Healthcare Professionals
Presented by Megan L. Malone, MA, CCC-SLP
Recorded Webinar

Presenter

Megan L. Malone, MA, CCC-SLP
Course: #4864Level: Introductory1 Hour
  'Good overview of this topic'   Read Reviews
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.

Wheelchair Seating: Considerations for the Hands-Free Sitter
Presented by Michelle Lange, OTR, ABDA, ATP/SMS
Recorded Webinar

Presenter

Michelle Lange, OTR, ABDA, ATP/SMS
Course: #3585Level: Advanced1 Hour
  'It was very well organized'   Read Reviews
Wheelchair seating is designed to provide postural support and alignment, stability for function and mitigate pressure issues. This course will address assessment and intervention when working with a client who can sit without the support of their hands, referred to as the ‘hands-free’ sitter.

Complex and Chronic Impairment in Concussion
Presented by Laura Morris, PT, NCS
Recorded Webinar

Presenter

Laura Morris, PT, NCS
Course: #4353Level: Intermediate2 Hours
  'the videos are helpful'   Read Reviews
This webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.

Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.

Interdisciplinary Approach To Stroke Rehabilitation: Outpatient, Home Health, And Community Rehabilitation Phase
Presented by Alaena McCool, MS, OTR/L, CPAM, Katherine George, PT, DPT
Recorded Webinar

Presenters

Alaena McCool, MS, OTR/L, CPAMKatherine George, PT, DPT
Course: #4609Level: Intermediate2 Hours
  'Pleasant voice'   Read Reviews
The unique relationship between the occupational and physical therapist when treating an acute, subacute, or chronic stroke diagnosis will be distinguished in this two-part series. Part two will focus on the subacute and chronic stroke, differentiating the home, outpatient, and community phases of rehabilitation, as well as examining the evaluation, evidence, and interventions in each setting to optimize independence for the patient.

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.