Hi Jason:
I complete my DPT at Simmons College. Thanks.
Perhaps a combination of the diabetes/obesity codes with any that might
relate to movement impairment may be a good a approach. By altering the
metabolic cardiovascular status we would treat the diabetes and obesity.
Similar to cardiac rehab which doesn't directly change myocardial perfusion.
************************************************
Dr. Douglas M. White
Doug,
When did you complete a Doctorate/PhD? What area of study?
Congratulations!
RE Codes, I was just suggesting the codes that I've found to have the best
chance for getting reimbursed without an appeal process. In my mind, I was
trying to relate the diabetes to physical functioning. Otherwise, Patrick
would be getting into seeking reimbursement from insurance companies for
preventative care, which would be tough (but justified I believe).
Preventative care may be a possibility in Arizona, since they have
reimbursement for direct access in some cases and a strong professional
association. I agree, obesity sounds like a good idea (if the pt is
overweight), but using the diabetes code may be too general for a PT in an
insurer's eyes. What aspect of the diabetes are we treating in order to
change the pt's function?
Agree/disagree?
Jason
----- Original Message -----
From: "Douglas White" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, May 01, 2004 7:29 AM
Subject: Re: Diabete's treatment
> Jason:
>
> I think what you are doing is great.
>
> Why not use the diabetes or obesity code(s)?
>
> ************************************************
> Dr. Douglas M. White
> -----Original Message-----
> From: - for physiotherapists in education and practice
> [mailto:[log in to unmask]] On Behalf Of Jason Steffe
> Sent: Saturday, May 01, 2004 7:14 AM
> To: [log in to unmask]
> Subject: Re: [PHYSIO] Diabete's treatment
>
> I agree wholeheartedly. You could use a "pain in joint" code, again I
can't
> recall the specific number off hand, but I think it's in the 717 series.
> Gait disturbance could also be related to a dysfunctional joint (low back
,
> foot/ankle, hip, knee etc). I can check the codes and let you know
Monday.
>
> Jason
>
> ----- Original Message -----
> From: "Summit Physical Therapy, Patrick Zerr" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Friday, April 30, 2004 11:03 PM
> Subject: Re: Diabete's treatment
>
>
> > Jason;
> > Thanks for the info. Please do tell everyone at NGC&SU I said hello.
> >
> > What I'm really trying to do is treat the diabetic who needs exercise to
> control their diabetes, become healthier, and lose weight. I am assuming
> that perhaps many diabetics can't exercise due to increase weight, and
pain
> in their joints / back.
> >
> > What do you think?
> >
> > Patrick
> >
> > www.apluspt.com
> > The easiest way to pass the NPTE
> >
> > -----Original Message-----
> > From: Jason Steffe <[log in to unmask]>
> > Sent: Apr 30, 2004 4:21 PM
> > To: [log in to unmask]
> > Subject: Re: Diabete's treatment
> >
> > Patrick,
> >
> > I would try using a gait dysfunction code like 719.7 (difficulty
walking)
> or
> > a gait disturbance (I believe it's a 717.add 4th and 5th) I'm not
> positive
> > on the latter one. I know Medicare has stopped paying for the 719.7,
but
> > other plans may still cover it. I can check on the gait disturbance for
> you
> > if you'd like for me to.
> >
> > BTW I'm going to NGCS&U next week to talk to their graduating class for
> > Prof. Socialization. I'll tell Frank you said hello. I hope all is
well
> in
> > Arizona.
> >
> > Jason
> >
> > ----- Original Message -----
> > From: "Summit Physical Therapy, Patrick Zerr" <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Friday, April 30, 2004 11:40 AM
> > Subject: Diabete's treatment
> >
> >
> > > Hello all;
> > >
> > > I am wondering if any of you are treating diabetes, type II,
> specifically
> > with physical therapy. If so what ICD 9 diagnostic codes are you using?
> > >
> > > I would think it is a viable to treat people to help get the metabolic
> > rates higher through exercise and training them correctly. Also there
may
> > be diabetics who have painful joints / muscles / conditions that prevent
> > them from exercising.
> > >
> > > I would like to hear your comments.
> > >
> > > Thank you!
> > >
> > > Patrick Zerr
> > > www.apluspt.com
> > > A+ PT Exam Prep Package
> > > The easiest way to pass the NPTE.
> > >
> >
>
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