2. Restorative therapy

As indicated in 1. above, to constitute physical therapy, a service furnished an individual must, among other things be reasonable and necessary to the treatment of their illness. If an individual's expected restoration potential would be insignificant in relation to the extent and duration of physical therapy services required to achieve such potential the physical therapy would not be considered reasonable and necessary to the treatment of the individual's illness or injury. Accordingly, there must be a medically appropriate expectation that the patient's condition will improve significantly in a reasonable (and generally predictable) period of time based on the assessment made by the physician of the patient's restoration potential after any needed consultation with the qualified physical therapist. Such expectations may not always prove to be valid, and the realization that restoration will not occur can and should also be reached in a reasonable and generally predictable period of time.