Chapter DHS 107

DHS 107.16(1)(d)1. 1. Hydrotherapy:

DHS 107.16(1)(d)1.a. a. Contrast bath;

DHS 107.16(1)(d)1.b. b. Hubbard tank, supervised;

DHS 107.16(1)(d)1.c. c. Whirlpool, supervised; and

DHS 107.16(1)(d)1.d. d. Walking tank;

DHS 107.16(1)(d)2. 2. Electrotherapy:

DHS 107.16(1)(d)2.a. a. Biofeedback;

DHS 107.16(1)(d)2.b. b. Electrical stimulation, supervised;

DHS 107.16(1)(d)2.c. c. Iontophoresis (ion transfer);

DHS 107.16(1)(d)2.d. d. Transcutaneous nerve stimulation (TNS), supervised;

DHS 107.16(1)(d)2.e. e. Electrogalvanic stimulation;

DHS 107.16(1)(d)2.f. f. Hyperstimulation analgesia; and

DHS 107.16(1)(d)2.g. g. Interferential current;

DHS 107.16(1)(d)3. 3. Exercise:

DHS 107.16(1)(d)3.a. a. Peripheral vascular exercises (Beurger-Allen);

DHS 107.16(1)(d)3.b. b. Breathing exercises;

DHS 107.16(1)(d)3.c. c. Cardiac rehabilitation — immediate post-discharge from hospital;

DHS 107.16(1)(d)3.d. d. Cardiac rehabilitation — conditioning rehabilitation program;

DHS 107.16(1)(d)3.e. e. Codman’s exercise;

DHS 107.16(1)(d)3.f. f. Coordination exercises;

DHS 107.16(1)(d)3.g. g. Exercise — therapeutic (active, passive, active assistive, resistive);

DHS 107.16(1)(d)3.h. h. Frenkel’s exercise;

DHS 107.16(1)(d)3.i. i. In-water exercises;

DHS 107.16(1)(d)3.j. j. Mat exercises;

DHS 107.16(1)(d)3.k. k. Neurodevelopmental exercise;

DHS 107.16(1)(d)3.L. L. Neuromuscular exercise;

DHS 107.16(1)(d)3.m. m. Post-natal exercise;

DHS 107.16(1)(d)3.n. n. Postural exercises;

DHS 107.16(1)(d)3.o. o. Pre-natal exercises;

DHS 107.16(1)(d)3.p. p. Range-of-motion exercises;

DHS 107.16(1)(d)3.q. q. Relaxation exercises;

DHS 107.16(1)(d)3.r. r. Relaxation techniques;

DHS 107.16(1)(d)3.s. s. Thoracic outlet exercises;

DHS 107.16(1)(d)3.t. t. Back exercises;

DHS 107.16(1)(d)3.u. u. Stretching exercises;

DHS 107.16(1)(d)3.v. v. Pre-ambulation exercises;

DHS 107.16(1)(d)3.w. w. Pulmonary rehabilitation program; and

DHS 107.16(1)(d)3.x. x. Stall bar exercise;

DHS 107.16(1)(d)4. 4. Mechanical apparatus:

DHS 107.16(1)(d)4.a. a. Intermittent positive pressure breathing;

DHS 107.16(1)(d)4.b. b. Tilt or standing table;

DHS 107.16(1)(d)4.c. c. Ultra-sonic nebulizer;

DHS 107.16(1)(d)4.d. d. Ultra-violet; and

DHS 107.16(1)(d)4.e. e. Phonophoresis;

DHS 107.16(1)(d)5. 5. Thermal:

DHS 107.16(1)(d)5.a. a. Cryotherapy — ice massage, supervised;

DHS 107.16(1)(d)5.b. b. Medcosonulator; and

DHS 107.16(1)(d)5.c. c. Ultra-sound;

DHS 107.16(1)(d)6. 6. Manual application:

DHS 107.16(1)(d)6.a. a. Acupressure, also known as shiatsu;

DHS 107.16(1)(d)6.b. b. Adjustment of traction apparatus;

DHS 107.16(1)(d)6.c. c. Application of traction apparatus;

DHS 107.16(1)(d)6.d. d. Manual traction;

DHS 107.16(1)(d)6.e. e. Massage;

DHS 107.16(1)(d)6.f. f. Mobilization;

DHS 107.16(1)(d)6.g. g. Perceptual facilitation;

DHS 107.16(1)(d)6.h. h. Percussion (tapotement), vibration;

DHS 107.16(1)(d)6.i. i. Strapping — taping, bandaging;

DHS 107.16(1)(d)6.j. j. Stretching;

DHS 107.16(1)(d)6.k. k. Splinting; and

DHS 107.16(1)(d)6.L. L. Casting;

DHS 107.16(1)(d)7. 7. Neuromuscular techniques:

DHS 107.16(1)(d)7.a. a. Balance training;

DHS 107.16(1)(d)7.b. b. Muscle reeducation;

DHS 107.16(1)(d)7.c. c. Neurodevelopmental techniques — PNR, Rood, Temple-Fay, Doman-Delacato, Cabot, Bobath;

DHS 107.16(1)(d)7.d. d. Perceptual training;

DHS 107.16(1)(d)7.e. e. Sensori-stimulation; and

DHS 107.16(1)(d)7.f. f. Facilitation techniques;

DHS 107.16(1)(d)8. 8. Ambulation training:

DHS 107.16(1)(d)8.a. a. Gait training with crutch, cane or walker;

DHS 107.16(1)(d)8.b. b. Gait training for level, incline or stair climbing; and

DHS 107.16(1)(d)8.c. c. Gait training on parallel bars; and

DHS 107.16(1)(d)9. 9. Miscellaneous:

DHS 107.16(1)(d)9.a. a. Aseptic or sterile procedures;

DHS 107.16(1)(d)9.b. b. Functional training, also known as activities of daily living — self-care training, transfers and wheelchair independence;

DHS 107.16(1)(d)9.c. c. Orthotic training;

DHS 107.16(1)(d)9.d. d. Positioning;

DHS 107.16(1)(d)9.e. e. Posture training;

DHS 107.16(1)(d)9.f. f. Preprosthetic training — desensitization;

DHS 107.16(1)(d)9.g. g. Preprosthetic training — strengthening;

DHS 107.16(1)(d)9.h. h. Preprosthetic training — wrapping;

DHS 107.16(1)(d)9.i. i. Prosthetic training;

DHS 107.16(1)(d)9.j. j. Postural drainage; and

DHS 107.16(1)(d)9.k. k. Home program.

DHS 107.16(1)(e) (e) Physical therapy aide services.

DHS 107.16(1)(e)1. 1. Services which are reimbursable when performed by a physical therapy aide meeting the requirements of subds. 2. and 3. are the following:

DHS 107.16(1)(e)1.a. a. Performing simple activities required to prepare a recipient for treatment, assist in the performance of treatment, or assist at the conclusion of treatment, such as assisting the recipient to dress or undress, transferring a recipient to or from a mat, and applying or removing orthopedic devices;

DHS 107.16 Note Note: Transportation of the recipient to or from the area in which therapy services are provided is not reimbursable.

DHS 107.16(1)(e)1.b. b. Assembling and disassembling equipment and accessories in preparation for treatment or after treatment has taken place;