Issue link: http://cp.revolio.com/i/142672
effective record keeping with your techniques, oils, or lotions to ensure a safe session. Daily activities. What does a typical day look like with respect to work, home, and exercise routine? Are they modifying activities because of their conditions? This will help you suggest self-care in between sessions and is your best benchmark for progress. Massage and bodywork history. Is this a new experience or are they veterans? Identify preferences and ensure a comfortable massage. The Framework These six areas provide enough information for ensuring a safe and productive massage for most clients. Intake forms vary depending on the environment. Spa intakes are typically brief and focus more CPT Billing In the physical medicine and rehabilitation section of the Current Procedural Terminology (CPT) codebook (published by the American Medical Association), there are many codes that fit within the legally defined scope of practice—which varies from state to state— for massage therapists and bodywork practitioners. Some of the codes applicable for most licensed massage therapists include: • 97010—Hot/cold packs. • 7112—Neuromuscular Reeducation (active movement 9 education for posture, proprioception, etc.). • 7124—Massage Therapy (effleurage, petrissage, etc.). 9 • 7240—Manual Therapy (manual lymph 9 drainage, myofascial release, etc.). • 9201—New patient evaluation, including a problem-focused 9 history, examination, and medical decision-making. • 99211—Evaluation and management of an established patient. Massage therapists have not been successful billing for procedures listed under "physical medicine" other than the few listed above, even though many services fall within the scope of practice of a licensed massage therapist. Case reports are the basis for research necessary to lay the groundwork for research that will get massage professionals additional CPT codes. We have an obligation to write down our approach to our treatment sessions: what conditions we treat, what assessment tools we use, what questions we ask our clients, what treatment techniques we use, when and why, and how we evaluate progress. Until we build a cache of case reports that informs research representative of how we practice, we will continue to make do with the CPT codes we currently have available. on identifying allergies and heart conditions. On-site sports massage interviews may be verbal and recorded by the practitioner in a logbook and focus on identifying signs of shock and dehydration. A more thorough intake may be necessary when treating medical conditions such as cancer, Parkinson's disease, or whiplash. There are more opportunities to influence healing or interact with medications, which warrants collecting more detailed information. Review a good pathology text and look up medications before an appointment with someone presenting with an unfamiliar condition. Historical information does not need to be collected every session. Record the client's answers to these questions at the first visit and revise annually thereafter. On a daily basis, ask for current information to shape the session: "Shall we continue to focus on your neck and shoulders, or is there something else I need to know about you today?" Updates are recorded on the daily record, not on the intake form, discussed below. In a client file, fasten the intake form or health history to the inside front cover of the folder so it is visible each time the folder is opened. Annual updates are stapled over the previous form. Review the current intake before every session to keep the client's goals for health in mind and create a safe and enjoyable experience. Daily Record keeping Massage and bodywork sessions employed for health maintenance and well-being often have a different