Mercer County Community College Physical Therapist Assistant Program

Mercer County Community College
Physical Therapist Assistant Program
Approved Abbreviations for use in Documentation
Category: Body Parts
Abbreviation Description
Abbreviation
ACL
Anterior Cruciate Ligament
MCP
C/S
Cervical Spine
mm
DIP
Distal Interphalangeal Joint
MTP
FCR
Flexor Carpi Radialis
Pec
FCU
Flexor Carpi Ulnaris
PCL
GH
Gleno-Humeral
PIP
H/S
Hamstring
Quad
ITB
Ilio-tibial Band
RTC
Jt
Joint
SI
LCL
Lateral Collateral Ligament
TMJ
Lats
Latissimus Dorsi
T/S
LE
Lower Extremity
UE
L/S
Lumbar Spine
MCL
Medial Collateral Ligament
Category: Diagnosis
Abbreviation Description
Abbreviation
AKA
Above Knee Amputation
H/o
ALS
Amyotrophic Lateral Sclerosis
HNP
BKA
Below Knee Amputation
HTN
CA
Cancer
LBP
CF
Cystic Fibrosis
MI
CHF
Congestive Heart Failure
MS
CVD
Cardio-Vascular Disease
MVA
CVA
Cerebral Vascular Accident
OA
Chronic Obstructive Pulmonary Disease
COPD
PD
CP
Cerebral Palsy
PVD
CRPS
Complex Regional Pain Syndrome
RA
CTS
Carpal Tunnel Syndrome
RSD
DDD
Degenerative Disc Disease
SOB
DJD
Degenerative Joint Disease
TBI
DM
Diabetes Mellitus
THA
DMD
Duchenne Muscular Dystrophy
THR
DVT
Deep Vein Thrombosis
TIA
Fx
Fracture
TKA
HA
Headache
TKR
Description
Metacarpophalangeal Joint
muscle
Metatarsophalangeal Joint
Pectoral / Pectoralis
Posterior Cruciate Ligament
Proximal Interphalangeal Jt
Quadriceps
Rotator Cuff
Sacroiliac
Temporomandibular Joint
Thoracic Spine
Upper Extremity
Description
History of
Herniated Nucleus Pulposus
Hypertension
Low Back Pain
Myocardial Infarction
Multiple Sclerosis
Motor Vehicle Accident
Osteoarthritis
Parkinson’s Disease
Peripheral Vascular Disease
Rheumatoid Arthritis
Reflex Sympathetic Dystrophy
Shortness of Breath
Traumatic Brain Injury
Total Hip Arthroplasty
Total Hip Replacement
Transient Ischemic Attack
Total Knee Arthroplasty
Total Knee Replacement
Category: Direction / Position
Abbreviation
ABD
ADD
Ant
A/P
Bwd
Diag
DF
Ever
ER
Ext
Flex
Fwd
FWB
Hor
Inf
IR
Lat
Description
Abduction
Adduction
Anterior
Anterior Posterior
Backward
Diagonal
Dorsiflexion
Eversion
External Rotation
Extension
flexion
Forward
Full Weight Bearing
Horizontal
Inferior
Internal Rotation
Lateral
Abbreviation
L
Med
M/L
NWB
P/A
PWB
PF
Post
Pron
Prox
R
Rot
SB
Sup
TTWB
WB
WBAT
Description
Left
Medial
Medial Lateral
Non Weight Bearing
Posterior Anterior
Partial Weight Bearing
Plantarflexion
Posterior
Pronation
Proximal
Right
Rotation
Sidebend
Supination or Superior
Toe Touch Weight Bearing
Weight Bearing
Weight Bearing as Tolerated
Category: Equipment
Abbreviation
AFO
CPM
4WW
FWW
KAFO
LBQC
NBQC
RW
Description
Ankle foot orthosis
Continuous passive motion
Four wheeled walker
Front wheeled walker
Knee ankle foot orthosis
Large based quad cane
Narrow Based Quad Cane
Rolling Walker
Abbreviation
SBQC
SPC
SW
T-Band
TLSO
WBQC
W/C
// Bars
Description
Small based quad cane
Single point cane
Standard Walker
Theraband
Thoracolumbosacal orthotic
Wide based quad cane
Wheelchair
Parallel Bars
Category: Exercises
Abbreviation
AAROM
ADL
amb
AROM
BAPS
HEP
Isom
LAQ
PBall
PRE
Description
Active Assistive Range of Motion
Activities of Daily Living
ambulate
Active Range of Motion
Biomechanical Ankle Platform System
Home Exercise Program
isometric
Long Arc Quadriceps
Physio-Ball
Progressive Resistive Exercises
Abbreviation
PNF
P/u
QS
ROM
SAQ
S/L
SLR
Ther Ex
TM
UBE
Description
Proprioceptive Neuromuscular Facilitation
Push up
Quadriceps Set
Range of Motion
Short Arc Quadriceps
Sidelying
Straight Leg Raise
Therapeutic Exercise
treadmill
Upper Body Ergometer
Category: Interventions (Modalities / Procedures)
Abbreviation
CP
Dexa
E-stim
FES
Ionto
Mob
MHP
MFR
NAGS
Description
Cold pack
Dexamethazone
Electrical Stimulation
Functional Electrical Stimulation
Iontophoresis
Mobilization
Moist Hot Pack
Myofascial Release
Natural Apophyseal Glides
Abbreviation
NMR
Phono
SNAGS
STM
TA
TENS
Tx
US
Description
Neuromuscular re-education
Phonophoresis
Sustained Natural Apophyseal Glides
Soft Tissue Mobilization
Therapeutic Activities
Transcutaneous Electrical Nerve Stimulation
Traction
Ultrasound
Category: Miscellaneous
Abbreviation
ā
@
A
As tol
B
BID
BIW
B/L
BOS
BP
bpm
c
CC
CGA
C/o
COG
Cont
D/C
DOB
DOI
DOS
Dx
ER
EOB
Eval
Ex.
Description
Before
At
Assist or Assistance
As tolerated
Bilateral
Twice a day
Twice a week
Bilateral
Base of support
Blood pressure
Beats per minute
With
Chief Complaint
Contact Guard Assist
Complains of
Center of gravity
Continue
Discharge
Date of birth
Date of injury
Date of surgery
Diagnosis
Emergency Room
Edge of bed
Evaluation
Exercise
Abbreviation
NS
OOB
OT
p
Prec.
PRN
Pt.
PT
PTA
RTW
r/o
Rx
S
s
Script
SLP
S/p
STG
Tol
VC
VIC
WFL
WNL
y/o
2º
<
Description
No Show
Out of bed
Occupational Therapist
After
Precautions
As needed
Patient
Physical Therapist
Physical Therapist Assistant
Return to work
Rule out
Treatment
Supervision
Without
Prescription
Speech Language Pathologist
Status post
Short Term Goal
Tolerated
Verbal cues
Verbalized informed consent
Within functional limits
Within normal limits
Years old
Secondary to or Due to
Greater Than
F/u
HOB
I
IE
LTG
Max
Min
MMT
mod
MVA
NF
Follow up
Head of bed
Independent
Initial evaluation
Long term goal
Maximum
Minimum
Manual Muscle Testing
Moderate
Motor vehicle accident
No Fault
>
1:1
//
‘
‘’
#
Less Than
One to one
Parallel
Foot or Feet
Inches
Pounds
Up, increased
Down, decreased
Flexion
Extension
To and from
↑
↓
√
∕
↔
CPT CODES
#
97001
97002
97010
Name
Physical Therapy Evaluation
Physical Therapy Re-evaluation
Hot or Cold Packs
97012
Mechanical Traction
97014
97016
Electrical Stimulation
(unattended)
Vasopneumatic Device
97018
97022
97024
Paraffin bath
Whirlpool
Diathermy
97026
97028
97032
97033
Infrared
Ultraviolet
Electrical Stimulation
(manual)
Iontophoresis
97034
Contrast Bath
97035
Ultrasound
97036
Hubbard Tank
97110
Therapeutic Exercise
97112
Neuromuscular Re-education
97113
Aquatic Therapy
97116
97124
Gait Training
Massage
97140
Manual Therapy Techniques
Description
Application of a modality to one or more areas; hot or cold
packs
Application of a modality to one or more areas; traction,
mechanical
Application of a modality to one or more areas; electrical
stimulation (unattended)
Application of a modality to one or more areas;
vasopneumatic devices
Application of a modality to one or more areas; paraffin bath
Application of a modality to one or more areas; whirlpool
Application of a modality to one or more areas; diathermy
(eg, microwave)
Application of a modality to one or more areas; infrared
Application of a modality to one or more areas; ultraviolet
Application of a modality to one or more areas; electrical
stimulation (manual), each 15 minutes
Application of a modality to one or more areas;
iontophoresis, each 15 minutes
Application of a modality to one or more areas; contrast
baths, each 15 minutes
Application of a modality to one or more areas; ultrasound,
each 15 minutes
Application of a modality to one or more areas; Hubbard
tank, each 15 minutes
Therapeutic procedure, one or more areas, each 15 minutes;
therapeutic exercises to develop strength and endurance,
range of motion, and flexibility. (Generally describes a
service aimed at improving a single parameter, such as
strength, ROM, etc.)
Therapeutic procedure, one or more areas, each 15 minutes;
neuromuscular reeducation of movement, balance,
coordination, kinesthetic sense, posture, and/or
proprioception for sitting and/or standing activities
Therapeutic procedure, one or more areas, each 15 minutes;
aquatic therapy with therapeutic exercise
Skilled improvement of gait, includes stair climbing
Therapeutic procedure, one or more areas, each 15 minutes;
massage, including effleurage, petrissage and/or tapotement
(stroking, compression, percussion)
Skilled manual therapy techniques (mobilization, manual
lymphatic drainage, manual traction), one or more regions,
each 15 minutes. ( PROM is NOT manual therapy)
#
97530
Name
Therapeutic Activity
97535
Self Care / Home Management
97542
Wheelchair Management
97760
Orthotic Management
97761
Prosthetic Management
97762
Orthotic/Prosthetic Checkout
97150
Group
PTAP 1/2010
Description
Use of dynamic activities to improve functional performance.
Describes the activities that use multiple parameters
(strength, ROM, balance, etc) together and focus and
achieving functional activity.
Self care/home management training (ADL and compensatory
training, meal preparation, safety procedures and
instructions in the use of assistive technology
devices/adaptive equipment)
Wheelchair Management (eg, assessment, fitting, training),
each 15 minutes
Orthotic(s) management and training (including assessment
and fitting when not otherwise reported), upper extremity(s),
lower extremity(s) and/or trunk, each 15 minutes
Prosthetic training, upper and/or lower extremity(s), each 15
minutes
Checkout for orthotic/prosthetic use, established patient,
each 15 minutes
Therapeutic procedure(s), group (2 or more individuals)
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