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 a “sometimes therapy” code?
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