Florida PIP & MedPay

Does Florida PIP Cover Physical Therapy After a Car Accident?

Yes — Florida Personal Injury Protection (PIP) covers medically necessary physical therapy after a car accident, but only if the patient is first evaluated by a qualifying provider within 14 days of the crash. Here's what that means in practice.

How Florida PIP dollars split between medical and lost wages, with PT coverage highlighted.
Dr. Sam Rose headshot

Dr. Sam Rose, PT, DPT

Clinical Director, PT Near Me

Published Updated 4 min read

The short answer

Florida PIP — Personal Injury Protection — is the no-fault coverage every Florida-registered vehicle is required to carry. It applies regardless of who caused the crash, and it covers physical therapy as long as two things are true: the patient was seen by a qualifying provider within 14 days of the accident, and the care is medically necessary for an injury sustained in that accident.

If either condition isn't met, PIP benefits for that crash are forfeited. This is why intake speed matters more in Florida than in most other states.

What the statute actually says

Florida Statute § 627.736 sets out the framework. The most-cited line is the 14-day rule:

In order to be eligible for [PIP] benefits, an insured must receive initial services and care … within 14 days after the motor vehicle accident.
Fla. Stat. § 627.736(1)(a)

The statute also distinguishes between an Emergency Medical Condition (EMC) and a non-emergency condition. Only an EMC unlocks the full $10,000 in PIP benefits — without it, the patient is capped at $2,500. An EMC determination must be made and documented by a physician, dentist, PA, or ARNP.

How PT is billed against PIP

Physical therapy delivered after a Florida auto accident is reimbursed under the same CPT codes used in outpatient clinics. Common examples on a post-MVA case:

Typical PT CPT codes billed to Florida PIP
CPT CodeServiceTypical use after a crash
97161 / 97162 / 97163PT evaluation (low / moderate / high complexity)Initial in-home evaluation
97110Therapeutic exerciseStrength and range-of-motion work
97140Manual therapySoft-tissue work for cervical / lumbar pain
97112Neuromuscular re-educationBalance, proprioception, post-concussive cases
97530Therapeutic activitiesFunctional retraining for ADLs and return to work

PIP reimburses 80% of reasonable and necessary medical expenses, subject to the statutory fee schedule. When the patient's auto policy includes MedPay, we bill MedPay as secondary.

When PIP runs out before treatment is complete

$10,000 sounds like a lot, but it doesn't always cover a full post-MVA care episode. ER imaging, an orthopedic consult, and a few weeks of PT can exhaust it before the patient reaches functional baseline. When that happens, we bill MedPay if the patient's auto policy includes it.

PT Near Me does not bill commercial health insurance. If PIP and MedPay are both exhausted before the plan of care is complete, we talk through options with the patient before continuing treatment — there is no surprise billing.

Frequently asked questions

Can a chiropractor or physical therapist meet the 14-day initial-care requirement?
The initial care must be from an MD, DO, dentist, PA, ARNP, or hospital — not from a chiropractor or physical therapist alone. PT can begin after that initial evaluation, as long as it's medically necessary and ordered or supported by a qualifying provider.
Does PIP cover in-home physical therapy specifically?
Yes. PIP doesn't restrict the site of service for PT — outpatient clinic, hospital outpatient department, or in-home are all reimbursable when the care is medically necessary and properly documented.
What happens to the patient's PT if PIP is denied?
If PIP is denied, we look first at MedPay on the patient's auto policy. PT Near Me does not bill commercial health insurance, so if neither PIP nor MedPay is available we will discuss options with the patient before continuing treatment.

500+ Physical Therapists covering 35+ counties in Florida.

Our clinician network reaches major metros and rural communities alike — from the Panhandle to the Keys. If a patient is in a highlighted county, we can usually see them at home within 24–72 hours of intake.

Clinicians in network
500+
Florida counties covered
35+
Map of Florida showing 35+ counties covered by 500+ in-home physical therapists.
Highlighted counties indicate active in-home PT coverage.

Need to refer a Florida patient?

Our intake team confirms PIP and MedPay coverage during the call and schedules most patients for an in-home evaluation within 48 hours.