Novitas Solutions, Inc., Medicare Administrative Contractor (MAC) for the states of Arkansas, Colorado, Delaware, Louisiana, Maryland, Mississippi, New Mexico, New Jersey, Oklahoma, Pennsylvania, and Texas as well as the District of Columbia, has issued a revised physical therapy and occupational therapy local coverage determination (LCD) with an effective date of April 18, 2019.
The LCD lists the most common CPT codes utilized by physical and occupational therapists and provides indications when the CPT code would be applicable to bill and supportive documentation requirements.
To access the LCD, log into your Gold Member account and click
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