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April 3, 2026Physiotherapy Research International0 citationsOpen Access

Exploring Current Procedural Terminology Codes for Physical Therapist Evaluations in the United States: Results of a Feasibility Study

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KRKat K. RethmanThe Ohio State University Wexner Medical CenterCMCody J. MansfieldOhio UniversityJSJ A StephensThe Ohio State University

Key Points

  • The study aims to assess the reliability and accuracy of physical therapists' coding for evaluations.
  • Feasibility assessment of CPT code determination by physical therapists.
  • Evaluation of variability in coding accuracy across multiple sites.
  • Recommendation for a larger multisite study for generalization.
  • Significant variability in evaluation CPT coding was observed.
  • The findings suggest the potential for improved coding reliability and accuracy.
  • Recommendations for refining coding practices to enhance international comparisons were made.

Abstract

Assessing the reliability and accuracy of PTs' determination of evaluation CPT codes is feasible; a larger multisite study is recommended to generalize results. There was a broad range of variability in evaluation CPT coding relative to what is deemed accurate. Refining coding reliability and accuracy within the U.S. system may enable meaningful international comparisons of coding and reimbursement frameworks, supporting the identification of strengths, gaps, and best-practice models to advance high-value physical therapy services globally.

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Cite This Study

Rethman et al. (2026) studied this question.

synapsesocial.com/papers/69cf5e5f5a333a821460ca63https://doi.org/10.1002/pri.70203
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