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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
Michigan Medicaid Sample PT/OT Rates Michigan Medicaid rates for physical and occupational therapy services. These are the fee-for-service rates so they may be different from Medicaid managed care rates and rates may change based on the setting or patient category. Members can ask questions or request information on any Medicaid issue at any time. Please consider joining today if you need assistance. |
Physical Therapy Fees – Posted April 1, 2024
Code |
Short Description |
Private Practice Therapist |
95851 |
Range Of Motion Measurements |
$13.85 |
95852 |
Range Of Motion Measurements |
$11.50 |
97012 |
Mechanical Traction Therapy |
$8.95 |
97014 |
Electric Stimulation Therapy |
$7.88 |
97016 |
Vasopneumatic Device Therapy |
$7.46 |
97018 |
Paraffin Bath Therapy |
$3.62 |
97022 |
Whirlpool Therapy |
$10.86 |
97024 |
Diathermy Eg Microwave |
$4.69 |
97026 |
Infrared Therapy |
$4.26 |
97028 |
Ultraviolet Therapy |
$5.33 |
97032 |
Appl Modality 1+Estim Ea 15 |
$9.16 |
97033 |
App Mdlty 1+Iontphrsis Ea 15 |
$12.35 |
97034 |
App Mdlty 1+Cntrst Bth Ea 15 |
$8.95 |
97035 |
App Mdlty 1+Ultrasound Ea 15 |
$8.95 |
97036 |
App Mdlty 1+Hubbrd Tnk Ea 15 |
$22.37 |
97039 |
Unlisted Modality |
M |
97110 |
Therapeutic Exercises |
$18.74 |
97112 |
Neuromuscular Reeducation |
$21.51 |
97116 |
Gait Training Therapy |
$18.74 |
97124 |
Massage Therapy |
$19.38 |
97129 |
Ther Ivntj 1st 15 Min |
$14.27 |
97130 |
Ther Ivntj Ea Addl 15 Min |
$13.63 |
97139 |
Unlisted Therapeutic Px |
M |
97140 |
Manual Therapy 1/> Regions |
$17.25 |
97161 |
Pt Eval Low Complex 20 Min |
$64.11 |
97162 |
Pt Eval Mod Complex 30 Min |
$64.11 |
97163 |
Pt Eval High Complex 45 Min |
$64.11 |
97164 |
Pt Re-Eval Est Plan Care |
$44.52 |
97530 |
Therapeutic Activities |
$23.43 |
97533 |
Sensory Integration |
$39.83 |
97535 |
Self Care Mngment Training |
$20.87 |
97542 |
Wheelchair Mngment Training |
$20.24 |
97550 |
Caregiver Traing 1st 30 Min |
$33.87 |
97551 |
Caregiver Traing Ea Addl 15 |
$16.83 |
97760 |
Orthotic Mgmt&Traing 1st Enc |
$30.46 |
97761 |
Prosthetic Traing 1st Enc |
$26.63 |
97763 |
Orthc/Prostc Mgmt Sbsq Enc |
$33.44 |
97799 |
Unlisted Physcl Med/Rehab Px |
M |
98975 |
Rem Ther Mntr 1st Setup&Edu |
$12.78 |
98976 |
Rem Ther Mntr Dev Sply Resp |
$30.25 |
98977 |
Rem Ther Mntr Dv Sply Mscskl |
$30.25 |
98980 |
Rem Ther Mntr 1st 20 Min |
$32.38 |
98981 |
Rem Ther Mntr Ea Addl 20 Min |
$25.56 |
G2250 |
Remot Img Sub By Pt, Non E/M |
$7.88 |
G2251 |
Brief Chkin, 5-10, Non-E/M |
$8.95 |
Occupational Therapy – Posted April 1, 2024
Code |
Short Description |
Private Practice Therapist |
92526 |
Oral Function Therapy |
$54.10 |
92610 |
Evaluate Swallowing Function |
$54.53 |
95851 |
Range Of Motion Measurements |
$13.85 |
95852 |
Range Of Motion Measurements |
$11.50 |
97012 |
Mechanical Traction Therapy |
$8.95 |
97014 |
Electric Stimulation Therapy |
$7.88 |
97016 |
Vasopneumatic Device Therapy |
$7.46 |
97018 |
Paraffin Bath Therapy |
$3.62 |
97022 |
Whirlpool Therapy |
$10.86 |
97024 |
Diathermy Eg Microwave |
$4.69 |
97026 |
Infrared Therapy |
$4.26 |
97028 |
Ultraviolet Therapy |
$5.33 |
97032 |
Appl Modality 1+Estim Ea 15 |
$9.16 |
97033 |
App Mdlty 1+Iontphrsis Ea 15 |
$12.35 |
97034 |
App Mdlty 1+Cntrst Bth Ea 15 |
$8.95 |
97035 |
App Mdlty 1+Ultrasound Ea 15 |
$8.95 |
97036 |
App Mdlty 1+Hubbrd Tnk Ea 15 |
$22.37 |
97039 |
Unlisted Modality |
M |
97110 |
Therapeutic Exercises |
$18.74 |
97112 |
Neuromuscular Reeducation |
$21.51 |
97116 |
Gait Training Therapy |
$18.74 |
97124 |
Massage Therapy |
$19.38 |
97129 |
Ther Ivntj 1st 15 Min |
$14.27 |
97130 |
Ther Ivntj Ea Addl 15 Min |
$13.63 |
97139 |
Unlisted Therapeutic Px |
M |
97140 |
Manual Therapy 1/> Regions |
$17.25 |
97165 |
Ot Eval Low Complex 30 Min |
$64.75 |
97166 |
Ot Eval Mod Complex 45 Min |
$64.75 |
97167 |
Ot Eval High Complex 60 Min |
$64.75 |
97168 |
Ot Re-Eval Est Plan Care |
$44.73 |
97530 |
Therapeutic Activities |
$23.43 |
97533 |
Sensory Integration |
$39.83 |
97535 |
Self Care Mngment Training |
$20.87 |
97542 |
Wheelchair Mngment Training |
$20.24 |
97550 |
Caregiver Traing 1st 30 Min |
$33.87 |
97551 |
Caregiver Traing Ea Addl 15 |
$16.83 |
97760 |
Orthotic Mgmt&Traing 1st Enc |
$30.46 |
97761 |
Prosthetic Traing 1st Enc |
$26.63 |
97763 |
Orthc/Prostc Mgmt Sbsq Enc |
$33.44 |
97799 |
Unlisted Physcl Med/Rehab Px |
M |
98975 |
Rem Ther Mntr 1st Setup&Edu |
$12.78 |
98976 |
Rem Ther Mntr Dev Sply Resp |
$30.25 |
98977 |
Rem Ther Mntr Dv Sply Mscskl |
$30.25 |
98980 |
Rem Ther Mntr 1st 20 Min |
$32.38 |
98981 |
Rem Ther Mntr Ea Addl 20 Min |
$25.56 |
G2250 |
Remot Img Sub By Pt, Non E/M |
$7.88 |
G2251 |
Brief Chkin, 5-10, Non-E/M |
$8.95 |
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