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An assistive technology assessment is a comprehensive evaluation aimed at understanding a patient's specific needs regarding assistive devices and adaptive equipment. This assessment is crucial for identifying the most suitable technology that can help restore, augment, or compensate for the patient's existing functional capabilities. The goal is to optimize the patient's ability to perform functional tasks and enhance their environmental accessibility, thereby promoting independence in various settings, including home, community, and workplace environments. During the assessment, the provider engages in direct one-on-one contact with the patient, allowing for a personalized approach to evaluating their current functional capacity. The provider not only assesses the patient's abilities but also introduces a range of assistive devices and equipment for the patient to trial. This hands-on experience is essential for determining the most effective solutions tailored to the patient's unique circumstances. Additionally, the provider evaluates the patient's living and working environments to ensure that the recommended devices will integrate seamlessly into their daily life. The findings and recommendations from this assessment are documented in a written report, with the assessment time billed in increments of 15 minutes, reflecting the direct contact and individualized attention provided to the patient.
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The assistive technology assessment is indicated for patients who require evaluation to determine the most appropriate assistive devices and adaptive equipment to enhance their functional capabilities. This assessment is particularly relevant for individuals facing challenges in maintaining independence due to various conditions or disabilities. The following are specific indications for performing this assessment:
The procedure for conducting an assistive technology assessment involves several key steps to ensure a thorough evaluation of the patient's needs and capabilities. Each step is designed to gather comprehensive information that will inform the selection of appropriate assistive devices and equipment.
Post-procedure care following an assistive technology assessment involves providing the patient with the written report detailing the findings and recommendations. The patient may need follow-up appointments to discuss the implementation of the recommended devices and any adjustments required for optimal use. Additionally, the provider may offer guidance on training the patient to use the assistive technology effectively, ensuring they can maximize its benefits in their daily activities. Continuous support may be necessary to address any challenges the patient encounters while integrating the devices into their routine, and to make further recommendations as their needs evolve.
| Short Descr | ASSISTIVE TECHNOLOGY ASSESS | Medium Descr | ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN | Long Descr | Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with written report, each 15 minutes | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 7 - Physical Therapy Service, for which Payment may not be Made | Multiple Procedures (51) | 5 - Special payment adjustment rules on the RVU practice expense component of multiple therapy service applies... | 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) | M5D - Specialist - other | MUE | 8 | CCS Clinical Classification | 215 - Other physical therapy and rehabilitation |
| GP | Services delivered under an outpatient physical therapy plan of care | KX | Requirements specified in the medical policy have been met | GO | Services delivered under an outpatient occupational therapy plan of care | CQ | Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | GN | Services delivered under an outpatient speech language pathology plan of care | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 96 | Habilitative services: when a service or procedure that may be either habilitative or rehabilitative in nature is provided for habilitative purposes, the physician or other qualified health care professional may add modifier 96 to the service or procedure code to indicate that the service or procedure provided was a habilitative service. habilitative services help an individual learn skills and functioning for daily living that the individual has not yet developed, and then keep and/or improve those learned skills. habilitative services also help an individual keep, learn, or improve skills and functioning for daily living. | KK | Dmepos item subject to dmepos competitive bidding program number 2 |
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| 2013-01-01 | Changed | Description Changed |
| 2004-01-01 | Added | First appearance in code book in 2004. |
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