CPT Code 97537 | Description & Clinical Information
CPT 97537 describes a one-on-one training procedure where the provider works with an injured or ill patient to provide community work reintegration training, helping them to return to employment and the community, with one unit of this code being used for each 15 minutes the provider spends with the patient.
Official Description
The CPT book defines CPT code 97537 as: “Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact, each 15 minutes”.
Billing Guidelines
CPT code 97542 should be used for wheelchair management/propulsion training.
Clinical Information
The procedure described by CPT code 97537 is a crucial step in rehabilitating individuals with disabling injuries. Community Work Reintegration Training (CWRT) is a practice that aims to promote the safe and effective return of patients to employment and community activities.
In the process of the CWRT procedure, healthcare providers assess different components of the patient’s job demands and work environment that are relevant to their ability. This is done to determine the type of adaptations that the patient needs to be able to perform their job functions safely and effectively.
The provider also has the responsibility of training the patient on the proper use of assistive devices, such as wheelchairs, raised toilet seats, and handwriting aids. This is a crucial step in ensuring that the patient can adjust to the use of these devices and perform their job functions appropriately.
Furthermore, the CWRT procedure involves an analysis of the patient’s worksite and the community environment to identify any factors that could negatively impact their balance, stability, and posture. Recommendations are then made for the most appropriate assistive devices and modifications that will enhance the patient’s ability to execute their job functions and engage in community activities safely.
It is noteworthy that the CWRT procedure is billed using CPT code 97537, and healthcare providers bill by the unit- one unit for every 15 minutes spent with the patient. This code encompasses the time spent assessing the patient, training them on the use of assistive devices, and modifying their work environment for maximum job performance.
Overall, the CWRT procedure is a vital intervention that promotes the reintegration of individuals with disabling injuries back into the community and employment. The proper use of assistive devices, worksite modifications, and adaptation training is a necessary step towards achieving this. It is essential to seek the services of a qualified healthcare provider to undergo the CWRT procedure for individuals with disabling injuries.
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