# Prior authorization for physiotherapy practices

Source: https://priorauth.getgenko.com/specialties/physiotherapy · Updated 2026-10-18

Reviewers of therapy requests look for objective measures, progress so far and measurable goals. Genkō Prior Auth collects those in a plan-of-care form and drafts a payer-aware packet from them. Your team reviews, edits, locks and submits it.

## What it collects

| Group | Fields |
| --- | --- |
| Diagnosis and progress | Treating diagnosis, onset date, functional measures (range of motion, strength, outcome scores with dates) and visits to date. |
| Plan | Plan of care (frequency, duration, interventions), measurable time-bound goals, and prior treatment. |

## Procedure areas

Procedure codes (CPT and HCPCS) are searched from a curated list covering evaluations, supervised modalities, constant-attendance modalities and procedures, wound care, dry needling, strapping and testing, and equipment. Diagnoses use an ICD-10-CM search, and you can type a code that is not listed.

## The packet

- A clinical justification that ties the objective measures and progress to the requested visits or services.
- A supporting-documentation summary, and a request letter to the reviewer.
- A list of what the payer may expect that you have not provided, such as a recent outcome score.

> It drafts text from what you record, for your team to check. It does not decide coverage or guarantee an approval.

## Where things stand

Early access, by invitation, on synthetic data only. No real patient information should be entered, and no HIPAA compliance claim is made. [Request early access](https://priorauth.getgenko.com/early-access), or see [Getting started](https://priorauth.getgenko.com/docs/getting-started).

## Related

- [What goes in a prior authorization packet](https://priorauth.getgenko.com/guides/prior-authorization-packet-checklist)
- [What is prior authorization?](https://priorauth.getgenko.com/guides/what-is-prior-authorization)
- [Prior authorization for dental practices](https://priorauth.getgenko.com/specialties/dental)