Simplify pediatric therapy billing for your practice
From early intervention to developmental delays, we’ll help you bill pediatric services correctly and get paid faster.
Pediatric therapy billing doesn’t have to be complicated
Billing for pediatric physical, occupational, speech, and ABA therapy comes with unique challenges. Between early intervention programs, school-based services, developmental delays, and complex payer requirements, getting claims approved (and reimbursed) can be tricky.
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At PT Billing Services, we help pediatric practices like yours navigate the complexities of pediatric billing, so you can focus on helping kids thrive. Here’s how to do it right.
What pediatric therapy services can you bill for?
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Pediatric therapy billing codes you need to know
Pediatric therapy often uses the same CPT codes as adult therapy, but documentation must demonstrate the child’s developmental needs and medical necessity. Below are common codes used in pediatric billing:
We specialize in pediatric billing—so you don’t have to
Pediatric therapy billing requires expertise in both clinical coding and payer policies—especially when working with Medicaid, early intervention, and commercial plans. At PT Billing Services, we help with:
We make sure your pediatric therapy services get reimbursed—without extra work on your end.
How to document pediatric therapy for successful claims
Establish Medical Necessity
Document how therapy addresses a medical condition or developmental delay, not just educational needs.
Developmental Milestones
Include assessments and measurable goals based on standardized testing (PDMS-2, BOT-2, etc.).
Caregiver Involvement
Document caregiver education and home programming, as these are often required for reimbursement.
Objective Measures
Track progress using tools like goal attainment scaling, range of motion, strength, and coordination improvements.
Frequency & Duration
Include justification for visit frequency (e.g., 2x/week for 12 weeks) and why services are skilled and necessary.
Progress
Demonstrate measurable improvement (pain reduction, function, bladder control).
Avoid these pediatric billing pitfalls
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Simplify your pediatric billing with PT Billing Services
Our pediatric billing experts are ready to help your practice streamline claims, stay compliant, and maximize reimbursement.
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