occupational therapy

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    Wiki 97550 and 97551

    Hello fellow coders, I have a question so I work for a pediatric OT and ST office and we are thinking of using codes 97550 and 97551 with codes 92507 for speech and 97530 for OT. Any advice on billing those and if any mods will be needed?
  2. L

    Wiki Collateral for OT

    Hello, I haven't been able to find the equivalent of a 90887 for occupational therapists, and I'm hoping to gain some insight on it here. A 99366/8 involves a medical team with/without the patient/family. But, what if the OT just meets with the parents of a client to discuss treatment goals and...
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    Wiki Therapeutic Activities and Lcodes

    Hello, We have been issued a denial siting Medicare Guidelines, for L3999 when billed with 97530. We supplied the MAC with appropriate information to support unlisted code and were issued a denial stating bundled to 97530 per Medicare policy. I can't find a Medicare policy that indicates...
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    Wiki Speech and OT cotreat

    Hello! I know that speech (92507) therapy is a non-timed code, while OT (97530) is timed at 15 minutes. If you are billing a 30 minute co treatment session for this scenario - there is no case where you'd be allowed to bill the full 2 units of 97530 AND 92507, correct? I understand that speech...
  5. J

    Wiki Medicare 8 Min Rule Physical and Occupational Therapy

    Looking to get some information on the 8 min rule. I code for ortho (New to Physical Therapy) and our PT department bills everything by the 8 min rule. After lots of research- I know the cpt codes are 15 min time based- I know Medicare allows the 8 min. However not all insurances do, Does...
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    Wiki using POS 3 (school setting) for outpatient OT

    I'm looking to find out if anyone has experience billing occupational therapy services with POS 3 (school setting). I bill for a pediatric occupational therapist who wants to start seeing patients in the school setting (she currently bills POS code 11 for the office setting). I'm reviewing her...
  7. K

    Wiki Occupational therapy partial denial on multiple codes

    I am new to billing occupational therapy codes and received a partial denial for the 2nd and 3rd codes for 1 visit. Denial on claim is as follows: 59 - Charges are adjusted based on multiple surgery rules or concurrent anesthesia rules. I am billing 97110, 97530, and 97535 with a GO modifier...
  8. J

    Wiki PT/OT/SLP Evaluations

    I bill for Pediatric (Birth to age 3) OT/PT and Speech Therapy. I was asked recently about evaluations that aren't completed during a single session. The problem we have, is most of these kiddos can't make it through a session that is long enough to complete the entire eval. The therapists will...
  9. K

    Wiki Medicare PT and OT, different offices, different days

    Quick compliance billing question for a Medicare patient. He is currently receiving outpatient PT at our office for Parkinson's related weaknesses/pain. He also just started seeing an outpatient OT for Parkinson's related weakness/dysfunction. Will Medicare pay for two outpatient offices to...
  10. S

    Wiki OT/PT Evaluation/ReEvaluation Coding for 2017

    Hello, I previously worked for an employer who would code their OT/PT evaluations/re-evaluations with a session code depending on the length of the evaluation session - for example would code: 1 hour OT evaluation 97003 - 1 unit 97530 - 4 units (60 minutes) With the new changes for the...
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