Central Distributor SASD: Description of Data Elements

I10_U_PHYTHERAPY - Utilization Flag: Physical Therapy

Documentation Sections:

General Notes

Uniform Values

State Specific Notes

General Notes

This utilization flag is specific to physical therapy services. The Utilization Flag software creates 30 data elements that reveal additional information about use of health care services. All of the utilization flags use Uniform Billing (UB-04) revenue codes. Ten of the utilization flags use ICD-9-CM procedure codes. Another ten of the utilization flags use the procedure Clinical Classification Software (CCS). The remaining ten utilization flags do not use procedural information. More information on the Utilization Flags is available under Tools & Software on the HCUP-US Web site. The utilization flag for physical therapy services is assigned using the procedure CCS in addition to revenue codes. For data prior to the fourth quarter of 2015 with ICD-9-CM procedure codes, the data element is named U_PHYTHERAPY. For data beginning in the fourth quarter of 2015 with ICD-10-PCS procedure codes, the data element is named I10_U_ PHYTHERAPY to indicate the implementation of the ICD-10-CM/PCS coding system.

Top

Uniform Values

Variable Description Value Value Description I10_U_PHYTHERAPY Utilization Flag: Physical Therapy 0 Service is not reported on the record 1 Service is indicated only by a revenue code 2 Service is indicated only by a procedure code or CCS procedure category 3 Service is indicated both by a revenue code and procedure code or CCS procedure category. .A Invalid

Top

State Specific Notes

None

Top