Mar 1st, 2013
Follow physical therapy service requirements for new G code and modifier reporting. By Lynn S. Berry, PT, CPC Editor’s Note: After this was published, G9157 was replaced by G9186 Motor speech functional limitation, projected goal status at initial therapy.  You will find more information in the Medicare Claims Processing Manual, Chapter 5. A new, claims-based ...
Nov 1st, 2012
By Kim Cohee, PT, MS, MBA, DPT, OCS Physical therapy (PT) and occupational therapy (OT) service modalities are divided into two categories: “supervised” and “constant attendance.” Modalities are typically defined as physical agents intended to effect therapeutic changes (using thermal, acoustic, mechanical, or electric energy). To report these services properly, you must understand the difference ...
Jul 1st, 2011
ICD-9-CM coding for TMJ is straightforward, but payer requirements vary widely. By G. J. Verhovshek, MA, CPC The temporomandibular joint (TMJ) is where the jawbone (the mandible) is connected to the skull bone (the temporal bone). These joints on either side of the head, just below the ear, allow the jaw to open and close, ...
In CMS
Apr 29th, 2011
Facilities seeking to furnish physical therapy and speech-language pathology services to Medicare and Medicaid patients in an outpatient setting have a new sheriff in town. The American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) has been approved as a national accreditation organization (AO). AAAASF Approved as Accreditation Organization was last modified: July 5th, ...
May 1st, 2010
By Kerin Draak, MS, WHNP-BC, CPC, CEMC, COBGC Providers of long-term care services must comply with several different regulating criteria, and it is the coder’s responsibility to understand applicable rules when coding these unique services. In recent years, there have been extensive changes in the Nursing Facility Services section of the CPT® manual. Although this ...