11/27/17
Always vs Sometimes Therapy Codes: What’s the Difference?
The Centers for Medicare and Medicaid Services (CMS) has defined the CPT codes most commonly utilized by providers of outpatient physical and occupational therapy as well as speech-language pathologists as either “always therapy” codes or “sometimes therapy” codes. In this article, I will explain the following: The difference between “always therapy” and “sometimes therapy” codes Which CPT codes are “always therapy” codes Which CPT codes are “sometimes therapy” codes Which CPT codes does the Multiple Procedure Payment Reduction policy apply to Which CPT codes count towards the annual therapy cap dollar threshold What is the between an “always therapy” code and
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