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05/13/19

Billing an Evaluation and CPT Code 97750 on the Same Day

A question I often receive is can I bill and be paid for an evaluation or reevaluation (CPT codes 97161-97168) and a physical performance test and measurement (CPT code 97750) when provided on the same date of service by the same discipline? To obtain the answer, we must refer to the

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04/01/19

Changes Coming To Usage of Modifier 59

The Centers for Medicare and Medicaid Services (CMS) has announced a significant change to the use of modifier 59, XE, XP, XS and XU effective July 1, 2019. Currently, the multi-carrier system (MCS) claims system processing logic for modifier 59, XE, XP, XS and XU be appended to the column two CPT code of a procedure to procedure (PTP) edit in order to bypass the edit and allow both CPT codes to be paid by the Medicare Administrative Contractor (MAC). Beginning with dates of service on and after July 1, 2019, the CMS will Click HERE to view the latest

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04/01/19

CMS National Correct Coding Initiative (NCCI) Medicare and Medicaid Program Announcement

CMS would like to announce that on February 1, 2019, the National Correct Coding Initiative (NCCI) Medicare and Medicaid Program Contract was awarded to a new contractor, Capitol Bridge LLC (2300 9TH STREET, SOUTH, PH3 ARLINGTON, VA 22204 Congressional District: VA-08). The incumbent contractor, CCS WP LLC/Correct Coding Solutions LLC and its principles will be retiring on March 16, 2019, immediately after the transition period with Capitol Bridge LLC. The transition period started on February 3, 2019, and will end on March 15, 2019. Please continue to send all correspondence to CCS WP LLC/Correct Coding Solutions LLC until March 14,

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01/14/19

NCCI Edit Version 25.0 Released

The National Correct Coding Initiative (NCCI) edits Version 25.0 has been released and is in effect for dates of service January 1, 2019 – March 31, 2019. There are many changes in this version due to the 2019 new and deleted CPT codes. There are several new CPT codes related to Adaptive Behavior as well as Developmental Testing. To access the NCCI Edit Version 25.0 “cheat sheet” applicable to physical therapy, occupational therapy and speech-language pathology services, click HERE. Thank you for being a Gold Member!

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