Home Health & Hospice Week

Reimbursement:

Specialty Codes Affected By P&O Restriction

If you don't qualify for one of these specialty codes, you'll no longer be able to bill for prosthetics and orthotics after July 5:
  Medical Supply Company With Orthotics Personnel (Specialty Code 51);
  Medical Supply Company With Prosthetics Personnel (Specialty Code 52);
  Medical Supply Company With Orthotics and Prosthetics Personnel (Specialty Code 53);
  Orthotics Personnel (Specialty Code 55);
  Prosthetics Personnel (Specialty Code 56);
  Orthotics Personnel, Prosthetics Person-nel, and Pedorthists (Specialty Code 57);
  Physical Therapist (Specialty Code 65);
  Occupational Therapist (Specialty Code 67); and
  All physician specialty codes listed in Manual 100.4, Chapter 26, Section 10.8.2.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.