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Coding Interpretations: Group Therapy Patient Scenarios

APTA provides its interpretation of the one-on-one and group codes, using patient care scenarios and an analysis of the proper coding for them. Although these scenarios have been submitted to CMS, APTA has received no response from the agency as to its agreement or disagreement with APTA's interpretations.

Interview Request Form

Interview Request Form

Compliance

Know the rules. Follow them.

APTA Guide to Physical Therapist Practice

Feb 9, 2023/Website

The Guide is the description of physical therapist practice for use by PT and PTA educators, students, and clinicians.

APTA State Chapters Fuel Legislative Wins in 2025

Aug 6, 2025/News

As the 2025 legislative season has come to a close in most states, many APTA chapters achieved significant victories that improve payment, address provider credentialing, and reduce administrative burden.

Final IRF Rule: Payment Increase Grows to 3.2%; Data Collection Postponed

Aug 30, 2022/Review

Analysis of recent data led to the payment boost, and concerns about provider burden helped delay a universal assessment requirement.

Takeaways From the Proposed 2023 Medicare Physician Fee Schedule, Part 1

Jul 11, 2022/News

A cut to the conversion factor, no changes to telehealth limitations (but a few codes added), a tweak to RVUs, and more.

Breaking Through Four Barriers to Better Addressing Men's Pelvic Health Needs

Jun 13, 2022/Perspective

Men’s pelvic health is too often overlooked both by patients and physical therapists.

From PTJ: Researchers Zero in on Best Exercises for Patients in Chemotherapy

Nov 10, 2023/Review

A review of 27 studies found an association between aerobic exercise and improvements that reduce mortality risk.

Facing Challenges With MIPS Reporting Requirements? Exceptions Are Available

Aug 6, 2024/Article

CMS’ Quality Payment Program offers exceptions to MIPS reporting requirements for certain hardships and uncontrollable circumstances. To be eligible, you must apply by Dec. 31.