Eli's Rehab Report
Billing OT Evaluation With ADL Training
PDF
Question: If an occupational therapist (OT) instructs a patient in a home exercise program during an initial evaluation, can I bill CPT 97535 in addition to the initial OT evaluation code (97003)?
Illinois Subscriber
Answer: There isn't a bundling edit published by the Correct Coding Initiative (CCI) that prohibits billing these codes together, so you should bill the evaluation and activities of daily living (ADL) separately. Document all activities performed in conjunction with training the patient so the insurer doesn't question whether the training should have been part of the consultation. In addition, be sure to document that the therapist not an assistant performed the 97535 (self care/home management training [e.g., ADL and compensatory training, meal preparation, safety procedures, and instructions in use of adaptive equipment], direct one-on-one contact by provider, each 15 minutes).
Eli's Rehab Report
- Latest CCI Bundles E/M With Many Procedure Codes Modifier -25 Is the Answer for Payment
Effective Oct. 30, evaluation and management (E/M) services are considered bundled to a multitude of [...] - You Be the Coder:
Coding For Supplies When Performing Wound Dressing Changes
Question: I know Medicare does not cover wound dressing changes, but what about the creams [...] - Strict Rules Apply When Employing a Physical Therapist
Having a physical therapist (PT) as part of your physical medicine and rehabilitation (PM&R) practice [...] - Code Confirmatory Consults for Ethically Maximum Return
Physiatrists often code for new or established patient office visits ( CPT 99201 - - Reader Question:
Code Q0086
Question: When is it appropriate to use code Q0086?
Georgia Subscriber
Answer: In Georgia, Q0086 (physical [...] - Reader Question:
Coding for Preoperative Physicals
Question: How do I code a presurgical physical so we can get paid for the [...] - Reader Question:
Needle EMG
Question: We bill CPT 95860 for an electromyograph (EMG) in addition to A4215 [...] - Reader Question:
Billing OT Evaluation With ADL Training
Question: If an occupational therapist (OT) instructs a patient in a home exercise program during [...] - Reader Question:
Is Modifier -51 Required for Prolonged Services?
Question: Does CPT 99359 need to be listed separately for each unit of [...]