2026 Coding and Payment Guide for Physical Therapy/Rehabilitation/Physical Medicine (Spiral)
Optum | 2026
The Coding and Payment Guide for Physical Therapy/Rehabilitation/Physical Medicine is your one-stop coding, reimbursement, and documentation resource developed exclusively for physical therapy, occupational and speech therapy, rehabilitation, and physical medicine. This comprehensive and easy-to-use guide is updated for 2026 and organized by specialty-specific CPT® codes. Each code includes its official description and lay description, coding tips, documentation and reimbursement tips, Medicare edits, and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.
PDF: Compare Optum Coding and Payment Guides to other industry books (199KB).
PDF: Compare Optum Coding and Payment Guides to other industry books (199KB).
- Evaluation and Management Services. Evaluation and Management codes commonly used in your specialty with their official description and lay description, coding tip, Medicare edits, and relative value units.
- Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in your practice. With CPT® E/M Guidelines and our Optum Coding Tips, you have all the information you need to select the correct E/M code for the service provided.
- Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure codes, making your coding process for procedures quick and efficient.
- HCPCS Level II Chapter - HCPCS supply and procedure codes commonly used in your specialty listed in alpha numeric order for easy access.
- ICD-10-CM code icons – Icons identify age-related and laterality diagnosis codes.
- Quickly find information. All the information you need is provided, including CPT® full code descriptions, lay descriptions, coding tips, procedure code-specific documentation and reimbursement tips, post op or follow up days, Medicare edits including IOM references and Medicare Unlikely Edits designations (MUE), and commonly associated ICD-10-CM diagnosis codes.
- CPT® Assistant references. Identify that an article or discussion of the CPT code has been in the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct volume.
- Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with total RVUs for non-facility and facility for CPT codes also included.
- Helpful illustrations. Detailed illustrations chapter provides of better understanding of anatomy.
- CCI edits. CCI Edits for CPT® and HCPCS procedure codes are included is a separate section.
- Product Updates. Significant updates to this guide and CCI edit updates, will be made available on the Optum Product Update page on Optumcoding.com for our valued Coding and Payment Guide customers.
Top