New Evaluation Codes Officially Released by the AMA

On September 6, 2016, the American Medical Association (AMA) released the 2017 CPT codes used by providers to bill insurance carriers for services rendered, including outpatient physical, occupational and speech therapy services. For physical and occupational therapy, there are significant changes regarding their current evaluation and reevaluation codes. Effective, January 1, 2017, 97001 (Physical therapy evaluation), 97002…

NGS Issue Processing Therapy Claims

Nati0nal Government Services (NGS) has identified an issue with reason code 31814 and 31947 when a functional limitation reporting G-code is billed with noncovered charges. NGS began releasing claims on 08/29/2016 with claims being suspended for reason code U6000. NGS has also discovered numerous claims rejected because these adjustments are being applied to the beneficiary’s…