Medicare Outpatient Physical Therapy Guidelines

Under Medicare Part B, there's no set limit on the number of covered physical therapy visits per year. However, coverage is based on medical necessity. A physician must certify the need for skilled therapy services and establish a treatment plan outlining goals and duration.

Medicare may cover physical therapy for rehabilitation after surgery, managing chronic conditions like arthritis, or improving mobility following a fall. The treatment session should focus on restoring functional abilities and promoting independence.

Medicare typically wouldn't cover services deemed purely for maintenance or general wellness purposes. Additionally, coverage might be denied if a treatment plan lacks a clear justification for medical necessity or physician certification.

Yes, Medicare covers physical therapy services under Medicare Part B when they are deemed medically necessary.