2020 Annual Update to the Therapy Code List

November 25, 2019
 / 
Rick Gawenda
 / 

The Centers for Medicare and Medicaid Services (CMS) has released the annual update that provides the list of codes that sometimes or always describe therapy services. Providers of therapy services need to be aware of this list and the annual updates as this list will tell providers which CPT codes the Multiple Procedure Payment Reduction (MPPR) policy does and does not apply to.

Question

Which CPT codes does the MPPR policy apply to?

Answer

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Question

Which CPT codes does the MPPR policy not apply to?

Answer

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Question

What’s the difference between an “always therapy” and “sometimes therapy” CPT code?

Answer

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Question

What are the calendar year 2020 additions and deletions to the therapy code list?

Answer

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Question

Where can I access the therapy code list that provides which CPT codes are “always therapy” and “sometimes therapy” CPT codes?

Answer

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    1. FLR codes are HCPCS Level II codes. Even though CMS eliminated FLR reporting, other insurance carriers can do what they want.