33 Comments

Medicare G-Code Shortcut Tables: Pelvic PT Jackpot!


* Update 6/12/13

We are thrilled with the positive response we received for the free Pelvic PDF we offered. We received many requests for ortho, neuro, and vestibular tests as well. Here they are!

Click Here for PDFs! Ortho, Neuro,

Vestibular! (Free Pelvic still available)

A huge thank you goes to Heather Edwards for pouring lots of energy and time in to making sure the tables are accurate and well organized! She rocks!!  Here’s a message from her:

“Here it is! The tables are back and better than ever! This will be a continual work in progress for the next couple of months while we’re collecting feedback and seeing how we can make it the most effective tool possible to save clinicians as much time as possible with the new Medicare changes. If you have any requests for more tests to be added or feedback on the scoring methods, please let us know!

The intent of these tables is to save time and create fewer errors. It is the responsibility of the PT to use clinical judgment in choosing the best possible test for her need. 

G Codes for Pelvic PT

There are numerous tests and we had requests for a more printer-friendly version.

TO ACCESS THE PELVIC G-CODE TABLES WE CREATED,

PLEASE OPEN THIS PDF FILE:  

Pelvic Modifiers PDF

Here’s a list of the pelvic tests in our update PDF:

PGword

http://www.pelvicguru.com

PELVIC

  • COLORECTAL-ANAL DISTRESS INVENTORY 8 (CRADI-8)
  • FECAL INCONTINENCE QUALITY OF LIFE INSTRUMENT
  • FEMALE SEXUAL FUNCTION INDEX (FSFI)
  • FEMALE NIH – CHRONIC PROSTATIS SYMPTOM INDEX (CPSI)
  • INCONTINENCE IMPACT QUESTIONNAIRE
  • INTERNATIONAL PROSTATE SYMPTOM SCORE
  • NIH – CHRONIC PROSTATIS SYMPTOM INDEX (NIH-CPSI) FOR MALES
  • PAIN DISABILITY INDEX
  • PATIENT SPECIFIC FUNCTIONAL SCALE
  • PELVIC FLOOR DISTRESS INVENTORY- SHORT FORM 20 (PFDI-20)
  • PELVIC ORGAN PROLAPSE DISTRESS INVENTORY 6 (POPDI-6)
  • PELVIC ORGAN PROLAPSE/URINARY INCONTINENCE SEXUAL FUNCTION QUESTIONNAIRE (PISQ-12)
  • PROSTATITIS SYMPTOMS QUESTIONNAIRE
  • UROGENITAL DISTRESS INVENTORY (UDI-6)
  • VULVAR PAIN FUNCTIONAL QUESTIONNAIRE (V-Q)

 ________________________________________________________________ 

Here’s a bonus for you! We received lots of requests for these two tests and associated modifiers: Oswestry and Berg. So, here they are for you. In the near future, we will be sharing a link for you to access a PDF for many more tests such as: 

BALANCE, VESTIBULAR, NEURO, & GENERAL MOBILITY 

  • 30 SECOND CHAIR STAND TEST
  • ACTIVITIES-SPECIFIC BALANCE CONFIDENCE SCALE (ABC)
  • BERG BALANCE
  • DIZZINESS HANDICAP INVENTORY (DHI)
  • DYNAMIC GAIT INDEX (DGI)
  • FUGL-MEYER ASSESSMENT
  • FOUR SQUARE STEP TEST (FSST)
  • FUNCTIONAL REACH TEST
  • GAIT SPEED
  • PATIENT SPECIFIC FUNCTIONAL SCALE
  • PERFORMANCE ORIENTED MOBILITY ASSESSMENT, TINETTI (POMA)
  • SIX MINUTE WALK TEST
  • STROKE IMPACT SCALE
  • TIMED UP AND GO (TUG)
  • WOLF MOTOR FUNCTION TEST

SPINE 

  • NECK DISABILITY INDEX (NDI)
  • OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE
  • P.A.C.T SPINAL SORT
  • FABQ
  • QUEBEC BACK PAIN DISABILITY SCALE
  • ROLAND MORRIS QUESTIONNAIRE
  • MCGILL PAIN QUESTIONNAIRE

 

ORTHOPEDIC 

  • DISABILITIES OF THE ARM, SHOULDER AND HAND (DASH)
  • LOWER EXTREMITY FUNCTIONAL SCALE (LEFS)
  • SHOULDER PAIN AND DISABILITY INDEX (SPADI)
  • UPPER EXTREMITY FUNCTIONAL SCALE (UEFS)
  • SF-36
  • WOMAC
  • PENN SHOULDER SCORE
  • ASES

ADL’S & HAND

  • BARTHEL INDEX OF ACTIVITIES OF DAILY LIVING
  • PATIENT SPECIFIC FUNCTIONAL SCALE
  • 9 HOLE PEG TEST
  • HAND GRIP STRENGTH TEST

 

OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE

Official scoring:

TEST SCORE

PERCENTAGE

MODIFIER

0

0% IMPAIRED

CH

1-19

1-19% IMPAIRED

CI

20-39

20-39% IMPAIRED

CJ

40-59

40-59% IMPAIRED

CK

60-79

60-79% IMPAIRED

CL

80-99

80-99% IMPAIRED

CM

100

100% IMPAIRED

CN

Raw scores to correlate with official modifiers:

TEST SCORE

PERCENTAGE

MODIFIER

0

0% IMPAIRED

CH

1-9

1-19% IMPAIRED

CI

10-19

20-39% IMPAIRED

CJ

20-29

40-59% IMPAIRED

CK

30-39

60-79% IMPAIRED

CL

40-49

80-99% IMPAIRED

CM

50

100% IMPAIRED

CN

BERG BALANCE

TEST SCORE

PERCENTAGE

MODIFIER

56

0% IMPAIRED

CH

45-55

1-19% IMPAIRED

CI

34-44

20-39% IMPAIRED

CJ

23-33

40-59% IMPAIRED

CK

12-22

60-79% IMPAIRED

CL

1-11

80-99% IMPAIRED

CM

0

100% IMPAIRED

CN

** If you are interested in finding out more about ortho, neuro, balance, vestibular (and other) modifier PDFs, please leave your name and contact email for us! Thanks!

Heather Edwards Bio

Heather Edwards has been practicing as a pelvic physical therapist near Asheville, NC for the past 8 years. She has been a presenter on the topic of Women’s Sexuality at the Flourish Women’s Convention in Cherokee, NC. She is a Pilates instructor and a yogi as often as she possibly can be. In her “free time” she chases around her two little boys and creates ridiculously tedious projects for herself (like calculating all of the possible outcomes for g-code scores and designing logos).

33 comments on “Medicare G-Code Shortcut Tables: Pelvic PT Jackpot!

  1. THANK YOU! We just worked on this for other diagnosis in our clinic and I was just starting to work on this for the women’s health patients. Thank you so much.
    Susan Parker,PT
    Greater Rochester Physical Therapy

  2. Thanks, this will be useful when compiling these for the clinic, but I thought I had some different numbers so will have to recheck my scales and values. I have a question to put out to others….I think we are putting too much into basic math computations on scales that use nominal and ordinal scoring scales, not sure that is accurate, anyone able to help me with this?

    • I had this struggle (the basic math computation one) in creating these tables. I’m not sure how there would be a way to do it differently. As I start using these tests with more regularity, maybe it will become a little more clear. However, there has to be some sort of basic computation that can be done to translate it to a percentage. I’m sure that there will be some tests that translate much better to C-modifiers than others by being more sensitive over a larger scale. I’m hoping that as I get more familiar with how each of them translate, it will help me to choose the test that will likely be the best for each patient to show significant changes for g-score reporting. I really do think that this project is going to be a work in progress the further we all get into the g-code process.

      And I also wonder how the developers of these tests feel about these g-code modifiers since they don’t necessarily add up with researched levels of clinical significance. On many of the tests I’ve precalculated (mainly the balance ones) I just made sure that I noted clinical significant levels along with the modifier tables so that the goal c-modifier can be set to the appropriate level for clinical significance.

      The g-code “rules” do mention using outcome measures or “clinical judgement”. That was why I put in some of the sub-scores on their own tables. If one sub-score seems more clinically relevant to a specific patient and would show more of a change that is measurable in 20% increments than the total score of the test, I don’t see why that specific score could not be “clinically judged” as the best measure to use. Any thoughts on this?

      I will also recheck my numbers. Feel free to let me know of any discrepancies you have and we can figure out the best method of scoring.

      Thanks for the feedback!

  3. Can you please send me G code short cuts for orthopedic tests! Thanks this is very helpful! Peggy

    Sent from my iPad

  4. Thank you!

  5. Great job! Thanks for sharing…much appreciated.

  6. Thanks so much for the detailed work! I have soooo much gratitude for therapist like you who ink out the fine details of documentation :)

  7. Thanks, this solidifies how we were approaching this, but makes it clearer!

  8. This is so awesome! You are awesome! Thanks a million!

  9. We are going to send out a newer, friendlier version soon- with exact numbers and reasoning again! :)

    • Tracy
      Thanks! I just created the G-Codes BEFORE i saw all the amazing work you have done – nice to check the numbers to make sure I got them right. This is a wonderfult resource. Fatima

  10. Thank you so much for all the information . Our WH team loves it. We are very appreciative of all the work that went into this. Has anyone worked on values for NIH male and female?

  11. *** We learned that the table needs some minor tweaks to make sure that it is 100% perfect. So, we are currently updating it and it will be available soon on here at http://www.pelvicguru.com and we will also send out a PDF version. Thanks for all of your support and kind comments. ~ Tracy Sher, MPT, CSCS

  12. Thank you for your time and effort in computing these! It is really helpful and greatly appreciated :)

  13. Thank you so much for the G-code tables!!! I appreciate all the help.
    Warm regards,
    Amy Fife, MPT, WCS, BCB-PMD

  14. Thank you so much for all your assistance in this matter.You are awesome

  15. Hi, I am unable to open the G Codes . Can you please email those to me
    Thanks Vanita

  16. I really am not the angry person I have been assigned

    • Haha. :) No one will hold the grumpy face against you! The G-codes are not up right now but should be in the next couple days with a list of tests that is even more extensive, extra shortcuts to score from raw numbers and save a few calculations, and more precise endpoints on ranges. Keep checking in! And thanks for your comments!

  17. Heather & Tracy,
    Thank you both. You are Awesome!
    Vanita

  18. Heather and Tracy,
    Cannot thank you enough
    Regards
    Vanita

  19. Thank you for all your hard work on this. Many of the other measures that you listed under BALANCE, VESTIBULAR, NEURO, & GENERAL MOBILITY can be found at http://www.rehabmeasures.org for those who would like to begin to use them.

  20. Thank you for all your hard work in developing this.
    Many of the measures listed under BALANCE, VESTIBULAR, NEURO, & GENERAL MOBILITY can be found at the web site http://www.rehabmeasures.org for those that would like to begin to use them now.

  21. [...] reporting of functional limitation and impairment modifiers.  Visit the PelvicGuru.com website and blog post and download the Impairment Modifier crosswalks to each of the above tests, and while your at it [...]

  22. Thank you so much for all the work put into this! This will help me put it into perspective! just curious…how is every one defining which category to use as the primary limitation? OT/PT other G8990 pr self care G8987?

  23. There is definately a lot to know about this issue. I like all the points you’ve made.

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