Name of the Procedure:

Unlisted Physical Medicine/Rehabilitation Service or Procedure (CPT Code 97799)

Summary

This procedure encompasses any physical medicine or rehabilitation service that does not have a specific CPT code assigned to it. It includes a variety of therapies and interventions designed to improve physical function and alleviate pain or disability.

Purpose

Unlisted physical medicine or rehabilitation services address a range of conditions involving physical impairment, pain, or loss of function. The goal is to restore mobility, increase strength, reduce pain, and improve overall quality of life for the patient.

Indications

• Chronic pain syndromes
• Musculoskeletal injuries
• Neurological conditions (e.g., stroke, spinal cord injuries)
• Post-surgical recovery
• Conditions requiring specialized therapy not covered by standard codes
• Persistent functional limitations

Preparation

Preparation varies widely depending on the specific service but generally may include:

• Relevant medical history review
• Diagnostic imaging or tests to assess the condition
• Fasting or medication adjustments based on the service
• Instructions on correct clothing or items to bring

Procedure Description

• A comprehensive assessment by a physical medicine and rehabilitation (PM&R) specialist.
• Development of a personalized treatment plan, which may include exercises, manual therapy, and the use of specialized equipment.
• Specific interventions might be dry needling, advanced therapeutic exercises, vestibular therapies, or custom orthotics fitting.
• Tools and equipment may vary widely but can include exercise machines, ultrasound devices, or electrical stimulation units.
• Anesthesia or sedation is typically not required unless the procedure is invasive.

Duration

The duration can vary significantly depending on the specific procedure but typically ranges from 30 minutes to 2 hours.

Setting

These services are usually performed in outpatient clinics, rehabilitation centers, or specialized physical therapy facilities.

Personnel

• PM&R physician (Physiatrist)
• Physical therapists
• Occupational therapists
• Rehabilitation nurses
• Therapy assistants

Risks and Complications

• Mild soreness or fatigue post-therapy
• Rare risk of injury from exercise or equipment use
• Adverse reactions to specific therapies (e.g., skin irritation from tapes, adhesives, or topical treatments)

Benefits

• Enhanced physical function and mobility
• Reduction in pain levels
• Improved quality of life and ability to perform daily activities
• Faster recovery from injuries or surgeries.

Recovery

• Follow-up instructions typically include home exercises, hydration, and rest.
• Recovery time varies based on the condition and therapy but generally ranges from several weeks to months.
• Regular follow-up appointments for adjustments and progress assessment.

Alternatives

• Standard physical therapy
• Pharmacological treatments, including pain management
• Surgical interventions
• Alternative therapies such as acupuncture or chiropractic care
• Each alternative has its own pros and cons, which should be discussed with a healthcare provider.

Patient Experience

• During the procedure, patients might feel some discomfort from stretching or manual manipulation.
• Post-therapy soreness is common but usually short-lived.
• Pain management can include over-the-counter pain relievers, ice/heat applications, and rest.
• Patients are encouraged to communicate any discomfort to their therapist immediately.