| OCCUPATIONAL THERAPY | ||
| SERVICE CHARGE CODE | SERVICE DESCRIPTION | SERVICE CHARGE PRICE |
| 5200023 | ADL TRAINING, ADD 15 MIN | 54.08 |
| 5200041 | STATUS SUMMARY PER 15 MIN | 54.43 |
| 5200042 | CONT PASSIVE MTN, ADD 15 MIN | 72.96 |
| 5200043 | JOBST MEASURING | 83.91 |
| 5200049 | BASE FEE PER PATIENT | 54.08 |
| 5200056 | NEUROMUSC REEDUC, ADD 15 MIN | 54.45 |
| 5200057 | OT CASE CONFERENCE | 123.94 |
| 5200060 | SPLINTING, ADD'L 15 MIN | 61.74 |
| 5200063 | NEUROMUSC FACIL, ADD 15 MIN | 54.45 |
| 5200064 | COORD TEST, ADD 15 MIN | 54.45 |
| 5200080 | COORD EX OR ACT PER 15 MIN | 54.08 |
| 5200106 | FUNCTIONAL EVAL, ADD 15 MIN | 80.05 |
| 5200148 | MUSCLE STRENGTH, ADD 15 MIN | 54.08 |
| 5200189 | ROM EXERCISE, ADD 15 MIN | 54.08 |
| 5200205 | PROSTHETIC TRNG, ADD 15 MIN | 54.08 |
| 5200405 | EDEMA REDUCTION PER 15 MIN | 14.23 |
| 5200406 | THERAPEUTIC EXER, ADD 15 MIN | 14.23 |
| 5201179 | HAND THERAPY - 15 MIN | 54.08 |
| 5202000 | ROM ACTIVITIES PER 15 MIN | 18.50 |
| 5202010 | COORD/FINE MOTOR PER 15 MIN | 16.61 |
| 5202020 | DAILY LIVING TRAINING PER 15 MIN | 18.50 |
| 5209711 | MUSCLE STRENGTH, 1ST 15 MIN | 54.44 |
| 5210971 | ROM EXERCISE, INIT 15 MIN | 54.44 |
| 5211097 | THERAPEUTIC EXER, 1ST 15 MIN | 36.53 |
| 5229702 | OT-WHIRLPOOL-15 MIN | 34.65 |
| 5230079 | HAND EVALUATION | 132.06 |
| 5249750 | ORTHOTICS TRNG, EXT, ADD 15 MIN | 54.44 |
| 5292506 | OT-BEDSIDE DYSPHAGIA EVALUATION | 140.60 |
| 5292507 | OT-DYSPHAGIA TREATMENT | 75.00 |
| 5292520 | OT-MODIFIED BARIUM SWALLOW | 140.60 |
| 5296001 | FLUIDOTHERAPY | 41.79 |
| 5296002 | PARAFFIN BATH | 10.44 |
| 5296003 | WORK HARD/IND REHAB, ADD 15 MIN | 31.33 |
| 5297003 | OT-FUNCTIONAL EVAL, INIT 15 MIN | 54.44 |
| 5297020 | DRESSING APPLICATION | 26.14 |
| 5297110 | NEUROMUSC FACIL, 1ST 15 MIN | 54.44 |
| 5297112 | OT-NEUROMUSC REEDUC, 1ST 15 MIN | 36.48 |
| 5297140 | OT-JOINT MOBILIZATION | 55.00 |
| 5297150 | OT-GROUP THERAPY | 49.00 |
| 5297504 | ORTHOTICS TRNG, EXT, 1ST 15 MIN | 54.44 |
| 5297520 | OT-PROSTHETIC TRNG, INIT 15 MIN | 54.08 |
| 5297532 | OT-COGNITIVE TRAINIG-15 MIN | 52.27 |
| 5297535 | ADL TRAINING, 1ST 15 MIN | 54.44 |
| 5298000 | OT-IONTOPHORESIS | 148.43 |
| 5299977 | SPLINTING, 1ST 15 MIN | 30.62 |
| 5299999 | MISC OCC TX PER 15 MIN | 14.23 |