(1) This rule applies to services that are provided on or after January 1, 2008.

(2) Fees for services provided by occupational therapists and physical therapists are payable only for the procedure codes listed below and, unless otherwise specified, are payable according to the amounts allowed by the nonfacility fee schedule.

(3) Only the following codes found in the nonfacility fee schedule may be billed for services provided by occupational therapists and physical therapists:

(a) all physical medicine and rehabilitation codes, except:

(i) 97532;

(ii) 97533; and

(iii) 97810 through 97814; and

(b) special services, procedures, and report codes 99080, MT001, and HCPCS codes for supplies and materials. Code MT001 is described in ARM 24.29.1533. A separate written report must be submitted describing the service provided when billing for the codes identified in this subsection.

(4) The explanations, protocols, comments, and directions for use contained in both the CPT manual and the nonfacility fee schedule are to be applied to the procedure codes contained in this rule.

(5) When billing code 97033 (iontophoresis), medication charges and electrode charges must each be billed separately for each visit using HCPCS codes.

(6) Code 97150 is to be used when two or more injured workers are being treated in a group setting and all participants are engaged in the same therapeutic procedures under the direct supervision of the treating therapist. Documentation indicating the type of treatment and the number of participants in each session must be provided along with each bill.

(7) When an occupational therapist or a physical therapist is performing orthotics fitting and training (code 97760) or checking for orthotic/prosthetic use (code 97762), supplies and materials provided may be billed separately for each visit using the appropriate HCPCS code.