Our products work For patients working with the following Medical Professionals.
The Most Effective Muscle Stretching System In The World
Introductory Program for Texas
The Flex-BuddyTMMSS medical program includes: 2- SAM Units, 4 Flex-Buddy, 4 wrist buddies, 2 posters, storage unit, WEB support instructional videos, staff training, product support advisor and BEST OF ALL 2 year full replacement warranty!! No questions asked. Just return all Flex-BuddyTMMSS components, and we will replace the defective or damaged unit(s) FREE.
*training and support will be done by RFT,LLC staff, and will include a 4 hr training program, and certification (training for licensed professionals and technicians only) certification must be renewed annually. Patient consultations by our Exercise and Medical Physiologists are $45 (no fee if patient purchases Flex-BuddyTMMSS)
Improve your Isokinetic Reimbursement You will pay for the whole program within 2 months or so. That means more profits!!!!!!
CPT Codes and Isokinetic Reimbursement
97110 Therapeutic activities one or more areas (strength, endurance, flexibility, ROM) each 15 minutes
97112 Neuromuscular reeducation, each 15 minutes
97116 Gait Training, each 15 minute area
97530 Functional activities one area, 15 minutes
97531 Each additional 15 minutes
97535 Self care / home management training, each 15 minutes
97750 Physical Performance test and measurement with written report each 15 minutes
95833 Muscle testing, manual (separate procedure) with report: total evaluation of body, excluding hands
95834 Muscle testing, manual (separate procedure) with report: total evaluation of body including hands
95851 Range of Motion (ROM) measurements and report (separate procedure) each extremity excluding hand.
95852 Range of Motion measurements and report (separate procedure) hand, with or without comparison with normal side
97720 Extremity for strength, dexterity or stamina: initial 30 minutes, each visit
97721 Each additional 15 minutes
97752 Muscle testing with torque curves during isometric and isokinetic exercise: mechanized or computerized evaluations with print out
97145 Physical medicine treatment to one area, each additional 15 minutes
How can I assure reimbursement for isokinetics?
To assure effective rehabilitation, you need to know, communicate and prove each of the following points – isokinetics gives you the answers.
1. What is the clinical status of the patient and how does it influence function?
2. What is the most appropriate treatment for the patient?
3. How much treatment will be required?
4. Has the patient been rehabilitated?
5. That there is NO less intensive or more appropriate evaluation or treatment alternative.
What is the clinical status of the patient and how does it influence function?
Disease leads to impairment, impairment leads to functional limitations and functional limitations lead to disability. Physicians, therapists and athletic trainers have relied on isokinetic testing for quantification of musculoskeletal performance impairments. The impairment is expressed as a deficit in a muscle’s ability to produce force, perform work,or generate power. All the referenced studies use isokinetic assessments to establish baselines and goals for criterion based rehab programs.
What is the most appropriate treatment for the patient?
The referenced studies document treatment programs for many common pathologies. When used in conjunction with evidence-based protocols, the isokinetic data allows the clinician to make the appropriate changes to the clinic activity portion and/or the home based portion of the program. The isokinetic data may also show that a patient is no longer responding to therapy or that therapy should be discontinued.
How much treatment will be required?
These studies document that even with complex problems, ACLs, shoulder impingement, arthroscopic subacromial decompression, rotator cuff and ankle instability, that there are fairly consistent and predictive time frames for returning to different levels of function.
Wilk (1992) documents the status of 250 ACL reconstructed knees at 12 weeks post-op. Timm (1988) shows the results after an average of 8.9 weeks of rehab for post-surgical knees.
Has the patient been rehabilitated?
All the studies show a correlation between the rehab program, isokinetic data and return to functional activities. The study by Timm (1988) documents that isokinetic exercised based programs are more efficient and effective than non-isokinetic programs. Wilk (1991, 1992) follow-up studies with ACL patients 12 weeks and 6 months post-op document successful rehab programs. The study by Ambrosios (1994), showed the average therapy sessions for a non-surgical group was 4.39 weeks versus 7.59 weeks for the surgical intervention group. The cost of therapy was twice as much for the surgical group. Both groups achieved a high return to work rate: surgical 84%, non-surgical 98%.
Is there a less intensive or more appropriate diagnostic or treatment alternative?
No. Some consider a manual muscle test as an alternative for measuring strength. Many references to the problems associated with a manual muscle test are cited in Wilk (1991) and Kulman (1992). These problems include consistency in grading and method, subjectivity in reporting, and poor inter-tester reliability. Also, manual muscle tests are performed statically, whereas isokinetic testing renders objective reliable data regarding muscular performance during a dynamic contraction.
[“…isokinetic testing renders objective reliable data regarding muscular performance during a dynamic contraction.”]
The medical providers that utilize isokinetics are telling the insurance companies that they want to control costs and manage cases objectively towards a positive outcome. Insurance companies that reimburse for isokinetic tests are telling providers they expect objective case management.
Coding Clarification: Proper Use of Testing and Measurement CPT® codes: 95831, 95832, 95851, and 95852
The American Chiropractic Association fields numerous questions concerning CPT codes 95831 and 95832, Muscle testing, manual, and CPT codes 95851 and 95852, range of motion measurements, and report. Questions relate to when it’s appropriate to bill these codes in conjunction with other CPT codes such as E/M codes or Chiropractic Manipulative Treatment (CMT) codes. Recent software edits in place for the Medicare Correct Coding Initiative (CCI) state that the above testing and measurement codes are “Mutually exclusive” with CMT codes.
There may be some instances that coding CPT 95851 or 95852 may be necessary. This would predominately occur in an impairment rating of the patient. From CPT coding guidelines, code 95851, Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine), is intended to report range of motion measurements. CPT code 95851 may be reported for each extremity (excluding hand) measured or for each trunk section measured (e.g. cervical, thoracic, lumbar) or for CPT code 95852 for the hand. The physician’s interpretation of the results, with preparation of a separate, distinctly identifiable, signed, written report is also required when reporting CPT 95851 or 95852.
CPT codes 95831, 95832, 95851, and 95852 are designated as “separate procedures.” Therefore, if in the process of performing the work described in E/M CPT codes 99201 through 99205 and CPT codes 99212 through 99215, the physician also performs the work described in CPT codes 95831, 95832, 98951, or 95852, then it would not be appropriate to report those codes in addition to the E/M service.
This document was developed by the ACA Coding and Reimbursement Committee. For additional information about this or any other coding matter, please contact the ACA’s Office of Professional Development and Research at 800-986-4636.
CPT is a registered trademark of the American Medical Association.