New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 447 - Standard Unit Of Measure References › Section 447.5 - Occupational therapy services

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
					 ACCOUNT NUMBER COST CENTER TITLE
					 ................................................................................................
7530 Occupational
						Therapy................................................................................................
(1) The standard unit of measure will be the
					 relative value units developed by the American Occupational Therapy
					 Association. Relative value units should be counted during a patient visit for
					 all assessment, treatment or other activities which use the resources of the
					 occupational therapy department, and for which a charge is made. Fifteen
					 minutes is the smallest increment of time for which a unit of service should
					 occur. After the initial 15 minutes, patient contact for less than 15 minutes
					 should be rounded to the nearest whole 15-minute period.
(2) For patient groups of two or more, the
					 appropriate relative value units listed in the schedule should be counted for
					 each patient in the group. Different codes should be used to indicate the same
					 treatment given to different size groups.
(3) Since a charge for only one treatment for
					 a 15-minute period can be made, concurrent or combination treatments should be
					 handled by selecting the most significant or longest treatment determined by
					 the the therapist.
(4) Occupational
					 therapy services provided in the home will have a unit value equivalent to that
					 shown in the schedule for the service provided, plus the applicable unit value
					 for travel time to and from the home.
(5) Relative value units for unlisted
					 procedures should be reasonably estimated on the basis of other comparable
					 procedures, or estimated by qualified personnel. If your facility has a
					 standard set of treatments that all patients receive unique to your facility,
					 using the system as a guide, relative value units should be
					 developed.
(6) The system includes
					 several definitions of activities not listed on the Relative Value Schedule, as
					 the schedule is designed only for direct treatment.
RVU's per 15 minutes Patient Group
									 Categories
Code number*
Service category
1 pt.
2-4 pts.
5-8 pts.
9 or more pts.
(b) Occupational Therapy
									 Assessment.
(1) Screening
11
5.5
3.3
98004
(2) Patient Related Consultation
14
(3) Evaluation
98055-06
(i) Independent Living/Daily Living Skills and
									 Performance
18
9.0
98010-00
(ii) Sensorimotor Skill and Performance
									 Components
21
10.5
98015-16
(iii) Cognitive Skill and Performance
									 Components
20
10.0
98020-21
(iv) Psychosocial Skill and Performance
									 Components
18
9.0
98025-26
(v) Therapeutic Adaptations
19
98030-32
(vi) Specialized Evaluation
23
11.5
6.9
(4) Reassessment
18
9.0
(c) Occupational Therapy Treatment.
(1) Independent Living/Daily Living Skills and
									 Performance
98040-42
(i) Physical Daily Living Skills
13
6.5
3.9
98045-47
(ii) Psychosocial/Emotional motional Daily
									 Living Skills
13
6.5
3.9
(iii) Work
98050-52
(a) Homemaking
15
7.5
4.5
98055-57
(b) Child Care/Parenting
18
9.0
5.4
98060-62
(c) Employment Preparation
19
9.5
5.7
98065-67
(iv) Play/Leisure
14
7.0
4.2
(2) Sensorimotor Components
(i) Neuromuscular
98070
(a) Reflex Integration
18
98075-78
(b) Range of Motion
13
6.5
3.9
1.3
(c) Gross and Fine Coordination
13
6.5
3.9
1.3
98085-88
(d) Strength and Endurance
13
6.5
3.9
1.3
98090-92
(ii) Sensory Integration
16
8.0
4.8
(3) Cognitive Components
98095-98
(i) Orientation
10
5.0
3.0
1.0
98100-01
(ii)
									 Conceptualization/Comprehension
14
7.0
98105-06
(iii) Cognitive Integration
14
7.0
(4) Psychosocial Components
96110-13
(i) Self Management
14
7.0
4.2
1.4
96115-16
(ii) Dyadic Interaction
14
7.0
98120-23
(iii) Group Interaction
10
5.0
3.0
1.0
(5) Therapeutic Adaptation
98125
(i) Orthotics
20
98130-31
(ii) Prosthetics
16
8.0
98135-36
(iii) Assistive/Adaptive Equipment
16
8.0
98140-43
(6) Prevention
13
6.5
3.9
1.3
98145
(d)
Patient/Client-Related
									 Conferences
14
98150-53
(e)
Travel: Patient
									 Treatment-Related
12
6.0
3.6
1.2