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As physicians are not licensed as physical therapists, they may not directly supervise physical therapy assistants and

Services may be provided personally by physicians and performed by personnel under their direct supervision as permitted under state laws. The services provided must be of the complexity and nature to require that they are performed by a licensed professional therapist or provided under their direct supervision by a licensed ancillary person as permitted under state laws.

All services provided must be within the applicable scope of practice for the provider in their licensed jurisdiction where the services are provided and PT services must be ordered by a physician or other licensed health care practitioner and performed by a duly licensed and certified, if applicable, PT provider.The PT services provided are intended to cover only episodes of therapy for situations where there must be a reasonable expectation that a member’s condition will improve significantly in a reasonable and generally predictable period of time and.These services must be proposed for the treatment of a specific illness or injury and

The member’s participating physician or licensed health care practitioner has determined that the member’s condition can improve significantly based on physical measures (eg, active range of motion (AROM), strength, function or subjective report of pain level) within one month of the date that therapy begins or the therapy services proposed must be necessary for the establishment of a safe and effective maintenance program that will be performed by the member without ongoing skilled therapy services.

Aetna considers physical therapy (PT) medically necessary when this care is prescribed by a chiropractor, DO, MD, nurse practitioner, podiatrist or other health professional qualified to prescribe physical therapy according to State law in order to significantly improve, develop or restore physical functions lost or impaired as a result of a disease, injury or surgical procedure, and the following criteria are met:.

This Clinical Policy Bulletin addresses physical therapy. Number: 0325 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References

Spss statistics base grad pack version 25 missing repeated measures