Can 97012 and 97140 be billed together?

In keeping with our example, beginning July 1, 2019, providers will be able to append the 59 modifier on either of the two CPT codes. Whether it’s 97012 or 97140, by appending the 59 modifier, you will ensure that you receive reimbursement for both services.

Does CPT 97012 need a modifier?

Both a GP and a GY modifier will now need to be appended to most therapy codes on all claim submissions, effective for dates of service on and after July 1, 2003 (Examples: 97012-GPGY, 97035-GPGY, G0283-GPGY, 97124-GPGY). The second list requires the use of the GP modifier only under certain conditions.

Can CPT code 97110 and 97140 be billed together?

Count the first 30 minutes of 97110 as two full units. Compare the remaining time for 97110 (33-30 = 3 minutes) to the time spent on 97140 (7 minutes) and bill the larger, which is 97140. 1. Restricted to one procedure per date of service (cannot bill two together for the same date of service.)

Is 97012 a time based code?

Regardless of whether you spend 10, 20, or 30 minutes assisting a patient with mechanical traction (CPT 97012), you can only bill 1 unit. On the other hand, manual therapy is a ‘timed’ treatment code, and you may bill 2 units (15 mins each). And this should shed some light on how to document time for Medicare patients.

What is Procedure Code 97112?

The Current Procedural Terminology (CPT) code 97112 as maintained by American Medical Association, is a medical procedural code under the range-Physical Medicine and Rehabilitation Therapeutic Procedures.

What are the new physical therapy codes?

The New CPT Codes for the Physical Therapist: 97161, 97162, 97163 and 97164. At the turn of the new year, physical therapy current procedural terminology (CPT) codes 97001 for evaluation and 97003 for re-evaluation will bid its adieu. In its place are four new CPT codes–97161, 97162 and 97163 for the former and 97164 for the latter.

What is the CPT code for a physical therapy evaluation?

The most commonly used CPT codes for Physical Therapy are listed below. For example, the CPT code for physical therapy evaluation is 97001.

What is the CPT code for group physical therapy?

The therapist can also bill the physical therapy group code (CPT 97150) if their clinical behavior meets this definition: “Group therapy consists of simultaneous treatment to two or more patients who may or may not be doing the same activities.