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Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes

HCPCS code

Name of the Procedure:

Home Health Physical Therapy (G0151)
Common name: Home Physical Therapy
Technical term: HCPCS G0151

Summary

Home health physical therapy involves a qualified physical therapist providing therapy services in the patient's home or hospice setting. Each session typically lasts 15 minutes and is tailored to improve the patient's mobility, strength, and overall physical function.

Purpose

Medical conditions addressed: Chronic pain, mobility issues, post-surgery rehabilitation, neurological disorders, injury recovery, and age-related physical decline. Goals or expected outcomes: Improve physical function and mobility, manage pain, enhance strength and coordination, and promote independence in daily activities.

Indications

Symptoms or conditions: Reduced mobility, muscle weakness, joint stiffness, balance issues, pain impeding daily activities, post-surgical recovery needs. Patient criteria: Individuals who are homebound or receiving hospice care and have been assessed to benefit from physical therapy.

Preparation

Pre-procedure instructions: No specific fasting or medication adjustments required, but patients should inform the therapist of any pain or discomfort before starting the session. Diagnostic tests: Initial assessment by a physical therapist to determine baseline function and develop a tailored treatment plan.

Procedure Description

  1. Initial Assessment: The physical therapist evaluates the patient's physical capabilities and limitations.
  2. Therapy Session: A series of exercises, stretches, and activities guided by the therapist. Techniques may include manual therapy, balance training, strength exercises, and coordination activities.
  3. Monitoring: Therapist monitors the patient’s response and adjusts the exercises as needed.

Tools and Equipment: Resistance bands, therapy balls, exercise mats, light weights, and other portable therapy equipment. Anesthesia or Sedation: None required.

Duration

Each session typically lasts 15 minutes, with multiple sessions per week based on the treatment plan.

Setting

This procedure is performed in the patient's home or hospice setting.

Personnel

Healthcare professionals involved: Qualified physical therapist.

Risks and Complications

Common risks: Muscle soreness, temporary fatigue, minor discomfort. Rare risks: Injury from improper exercise technique, exacerbation of existing conditions. Management: Risks are minimized through proper technique and continuous monitoring. Any complications are promptly addressed.

Benefits

Expected benefits: Improved mobility, reduced pain, enhanced strength, and better quality of life. Realization: Benefits can often be seen within a few weeks but vary based on individual conditions and adherence to therapy.

Recovery

Post-procedure care: Follow-through with prescribed exercises between therapy sessions. Recovery time: Varies per individual; consistent progress can be expected if instructions are followed. Restrictions: Generally, minimal restrictions, but patients should avoid overexertion and follow the therapist's advice. Follow-up: Regular follow-up sessions as prescribed by the physical therapist.

Alternatives

Other treatment options: Outpatient physical therapy, medication, surgery, and other rehabilitation programs. Pros and cons: Home therapy provides convenience and personalized care but may be less intensive than outpatient services with full equipment access.

Patient Experience

During the procedure: Patients may feel some discomfort from stretching and exercising but generally not severe pain. Post-procedure: Soreness is common but should be temporary. Pain management may include over-the-counter pain relievers and rest. Comfort measures: Therapists ensure exercises are within the patient’s comfort and pain tolerance levels, adjusting as necessary.

Medical Policies and Guidelines for Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes

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