Will the Medicare program reimburse for the multi-layer compression bandaging CPT codes (29581 and 29584) on the same date of service when manual therapy (CPT code 97140) is provided in the same anatomic region?
Question – Posted December 14, 2021
Can the same discipline bill CPT code 97760 (Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes) or CPT code 97761 (Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes) on the same day they bill a reevaluation CPT code?
Question – Posted April 7, 2021
Can the same discipline bill either CPT code 97750 (Physical performance test or measurement), 97755 (Assistive Technology Assessment) and/or 97763 (Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes) on the same day they bill an evaluation or reevaluation CPT code?
Question – Posted April 7, 2021
Can an individual who is both a physical therapist and an occupational therapist bill a physical therapy evaluation and an occupational therapy evaluation on the same date of service to the Medicare program?
Question – Posted April 7, 2021
Can the same discipline report more than one reevaluation CPT code (97164 or 97168) on the same date of service for the same patient?
Question – Posted April 7, 2021
Can the same discipline report more than one evaluation CPT code (97161-97163 or 97165-97167) on the same date of service for the same patient?
Question – Posted April 7, 2021
Where can I access the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edit changes effective April 1, 2021?
Question – Posted April 7, 2021
Where can I read about the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edit changes effective January 1, 2021?
Question – Posted December 13, 2020
Where can I read about the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edit changes effective October 1, 2020?
Question – Posted December 13, 2020
Whose responsibility is it to make sure modifier 59 gets appended to a CPT code on the claim form?
Question – Posted February 10, 2015
In our practice, we provide aquatic therapy. In the beginning, patient’s perform all their therapy in the aquatic setting, but as they progress, we provide some of the services in the aquatic setting and also provide therapeutic exercise on land on the same day. Does the Medicare program pay for both aquatic therapy (CPT code 97113) and therapeutic exercise (CPT code 97110) when provided on the same day to the same Medicare beneficiary?
Question – Posted February 10, 2015
As a physical or occupational therapist, it is common to provide manual therapy on the same day as also having the patient perform dynamic functional activities. Does the Medicare program pay for both manual therapy (CPT code 97140) and therapeutic activities (CPT code 97530) when provided on the same day?
Question – Posted February 10, 2015
As a physical therapist, I work with patient’s who have had lower extremity amputations and on the same day, not only provide prosthetic training, but also gait training? Does the Medicare program pay for both of these CPT codes when provided on the same day?
Question – Posted December 20, 2014
When billing CPT codes 97110 (therapeutic exercise), 97112 (neuromuscular reeducation), 97140 (manual therapy) and/or 97530 (therapeutic activities) on the same day as 95992 (Canalith Repositioning), how do I get paid for 97110, 97112, 97140, and 97530?
Question – Posted December 20, 2014
As a certified hand therapist, I often provide paraffin bath (CPT code 97018) prior to performing manual therapy (CPT code 97140) techniques on a patient. However, with Medicare patient’s, I never get reimbursed for 97022. Am I doing something wrong?
Question – Posted February 3, 2014
I heard that Medicare does not pay for manual therapy (CPT code 97140) when done on the same day as mechanical traction (CPT code 97012). Is that true?
Question – Posted February 3, 2014
When I bill a PT or an OT re-evaluation on the same day I provide treatment to the Medicare beneficiary, I do not get paid for the re-evaluation. Why not?
Question – Posted February 3, 2014
How often does the Centers for Medicare and Medicaid Services (CMS) update CCI edits?
Question – Posted February 3, 2014
What does Column 1 mean in the Column 1/Column 2 correct coding edits table?
Question – Posted February 3, 2014
At one time, CMS had two different sets of CCI edits. One was called mutually exclusive and the other was called Column 2. What happened to the mutually exclusive edits?
Question – Posted February 3, 2014
Do private insurance carriers and Medicaid programs utilize NCCI edits as Medicare does?
Question – Posted February 3, 2014
Do NCCI edits apply only to outpatient therapy services under the Medicare program?
Question – Posted February 3, 2014
What is the purpose of NCCI edits?
Question – Posted February 3, 2014
Why were National Correct Coding Initiative (NCCI) edits developed?
Question – Posted February 3, 2014
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