In my state, my Medicare Administrative Contractor (MAC) does not pay for iontophoresis as they consider it investigational and experimental. If I have a traditional Medicare patient that receives 35 minutes of 1 on 1 time that is billed out as therapeutic exercise, but also received iontophoresis that took 5 minutes of skilled one-on-tine to set up and answer patient questions, would it be permissible to ‘use’ the additional iontophoresis time (5 minutes) and add it to the 35 minutes of therapeutic exercise to achieve 40 minutes of total timed minutes, thus allowing 3 units of therapeutic exercise to be billed?
I know the Medicare program does not pay separately for the dry needling CPT codes (20560 and 20561). If I have a traditional Medicare beneficiary perform 23 minutes of therapeutic activities, 12 minutes of therapeutic exercise and then I perform dry needling (no manual therapy techniques at all) for 5 minutes, would it be permissible to ‘use’ the additional dry needling time (5 minutes) and add it to the 35 minutes of combined therapeutic activities and therapeutic exercise to achieve 40 minutes of total timed minutes, thus allowing 3 units timed units to be billed?
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