G0042 Ref to therapy
Also known as: therapy referral, rehab referral, PT/OT referral
Referral to physical therapy, occupational therapy, or other rehabilitation services made for the patient.
In Plain Language
patient referred to physical or occupational therapy
Clinical Context
Quality measure code documenting appropriate referral to rehabilitation services.
RVU Information
CPT G0042 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Frequently Asked Questions
What is CPT code G0042?
CPT G0042 (Ref to therapy) is a G Codes code. Referral to physical therapy, occupational therapy, or other rehabilitation services made for the patient.
Who uses CPT code G0042?
CPT G0042 is used by multiple specialties. Quality measure code documenting appropriate referral to rehabilitation services.
When is CPT G0042 used?
Quality measure code documenting appropriate referral to rehabilitation services.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.