Current News



Lymphedema Bandaging and Manual Therapy Same Day

Recently, I have been receiving emails from my followers as well as seeing an increased discussion on social media platforms regarding the billing and payment of CPT code 97140 (manual therapy) on the same day the same provider also bills CPT code 29581 and/or 29584 (application of a multi-layer compression system). So what is the issue with payment of CPT code 97140 when performed on the same date of service that the provider also bills CPT code 29581 and/or 29584? According to I hope you enjoyed this article. Thank you for being a Gold Member!

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Significant Changes to NCCI Edits Effective January 1, 2020

Every quarter, the Centers for Medicare and Medicaid Services (CMS) updates the National Correct Coding Initiative (NCCI) edits. This occurs on January 1st, April 1st, July 1st and October 1st of every year. The biggest changes usually occur with the January 1st edition due to new and deleted CPT codes for the new calendar year now being in effect. Version 26.0 has been released by CMS. This version will be effective with dates of service beginning on January 1, 2020 through March 31, 2020. There are many additions and deletions to Version 26.0 that will have a significant impact on

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Palmetto Active Medical Reviews

Palmetto has published an updated list of active medical reviews. Pertaining to outpatient therapy, 2 of the active medical reviews include CPT code 97110 (therapeutic exercise) and 97140 (manual therapy) provided in non-private practice settings. It’s important to document not just what the patient performed in therapy that visit, but what did the therapist or assistant do for the patient that visit that required the unique skills of a therapist, or an assistant under the direction and supervision of the therapist, to provide. Did the therapist or assistant provide verbal instruction and/or correction to the patient during the performance of

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