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Work hardening/conditioning is a therapeutic approach utilized primarily after a work-related injury to facilitate an individual's return to their job while preventing future injuries. This process begins with a comprehensive baseline assessment conducted by a physical therapist or occupational therapist, who evaluates the individual's functional abilities. Following this assessment, a tailored therapy program is developed, focusing on the specific needs of the individual. The program is designed to track progress and improvements, with the ultimate goal of enabling the individual to return to work safely and effectively. It is important to note that work conditioning and work hardening, while related, serve different purposes. Work conditioning emphasizes exercises aimed at enhancing the body's strength and conditioning to restore neuromuscular and musculoskeletal functions, which include strength, endurance, mobility, and flexibility. This may involve various activities such as cardiovascular training on a treadmill or stationary bicycle, weight training, circuit training, and educational components. Conversely, work hardening is a more intensive form of therapy that concentrates on real or simulated tasks that are essential for job performance. During this phase, the therapist closely monitors the individual's activity tolerance, body mechanics, lifting and carrying capacity, as well as their ability to sit, stand, walk, and climb. The program addresses not only physical aspects but also behavioral and vocational issues to ensure that the individual can work productively and safely. Typically, work hardening/conditioning programs are conducted for several hours a day, multiple times a week, either in a clinical therapy setting or within the workplace itself. For billing purposes, CPT® Code 97545 is designated for the initial two hours of therapy, while CPT® Code 97546 is applied for each additional hour of service provided.
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The procedure of work hardening/conditioning is indicated for individuals recovering from work-related injuries. The following conditions may warrant the implementation of this therapeutic approach:
The work hardening/conditioning procedure involves several key steps that are essential for effective rehabilitation. Each step is designed to ensure that the individual is adequately prepared to return to work safely and productively.
After the completion of the work hardening/conditioning program, individuals may require ongoing support to ensure a successful transition back to work. Post-procedure care may include follow-up appointments with the therapist to monitor continued progress and address any emerging issues. Additionally, individuals may benefit from education on injury prevention strategies and ergonomic practices to maintain their health and safety in the workplace. It is essential for individuals to communicate any concerns or difficulties they encounter as they return to their job, allowing for timely interventions if necessary.
Short Descr | WORK HARDENING ADD-ON | Medium Descr | WORK HARDENING/CONDITIONING EACH HOUR | Long Descr | Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) | Status Code | Restricted Coverage | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 7 - Physical Therapy Service, for which Payment may not be Made | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | Z2 - Undefined codes | MUE | 2 | CCS Clinical Classification | 213 - Physical therapy exercises, manipulation, and other procedures |
This is an add-on code that must be used in conjunction with one of these primary codes.
97545 | MPFS Status: Restricted APC A PUB 100 CPT Assistant Article Work hardening/conditioning; initial 2 hours |
GP | Services delivered under an outpatient physical therapy plan of care |
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1993-01-01 | Added | First appearance in code book in 1993. |
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