In last weeks article, I discussed the difference between CPT codes 97760 (orthotic management and training) and 97662 (checkout for orthotic/prosthetic use). In the article, I explained how CPT code 97760 can include the assessment time, custom fitting or custom fabrication time associated with the orthosis, and the fitting of the orthosis to the patient if that time is not reported somewhere else. In this weeks article, I will discuss what the somewhere else is and when a L code may be appropriate to bill for a prefabricated, custom fitted or custom fabricated orthosis. So if you are not counting

Two of the most confusing CPT codes that therapists and assistants ask me questions on, whether during a live seminar, a webinar, or just in an email question is, what is the difference between CPT code 97760 (orthotic management and training) and CPT code 97762 (checkout for orthotic/prosthetic fit) and what interventions would be included in each CPT code? Before I answer the question, let me provide the full CPT code description of each CPT code. 97760 – Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes. 97762

Congress has passed legislation increasing Medicare payment for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings, except for a critical access hospital. In this article, I will provide my members with the estimated payment amounts beginning March 9, 2024, for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT code. Based on the location of your clinic/organization, your payment may be higher or lower than the national average. Click HERE

On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) final rule. This final rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings. In this article, I will provide my members with the estimated payment amounts for calendar year 2024 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT

On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) proposed rule. This proposed rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings. In this article, I will provide my members with the estimated payment amounts for calendar year 2024 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Click HERE to read my summary on the final rule that will impact outpatient physical, occupational and speech therapy services in 2023. On December 22, 2022 and December 23, 2022, the United States Senate and United States House of Representatives, respectively, passed the Consolidated Appropriations Act, 2023. Included in this legislation was Congress providing additional funding to the Medicare program to help offset some, but not all, of the 4.47%

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Click HERE to read my summary on the final rule that will impact outpatient physical, occupational and speech therapy services in 2023. In this article, I will provide my members with the estimated payment amounts for calendar year 2023 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2022 payment rate for each CPT code. For my examples, I used Detroit, Michigan

On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 proposed rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Click HERE to read my summary on the proposals that will impact outpatient physical, occupational and speech therapy services. Comments are due by 5:00pm on September 6, 2022. In this article, I will provide my members with the estimated payment for calendar year 2023 for the more common CPT codes billed in outpatient therapy compared to the 2022 payment rate for each CPT code. For my examples, I used Detroit,