Insurance and Reimbursement Regarding Bike Fit

Question

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.