Modifier for 97014 and 97012

lhoang01

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Hi our office send bills out to Tuft Health Plan and those bills were denied because of modified missing for 97014 and 97012 (it does said that in EOB). In that day of service, we billed 4 codes 98940, 97014, 97010 and 97012. Does anyone have any suggestion of the modifiers for these codes in future? :confused::confused:
 

CodingKing

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Typically there is a modifier on therapy modalities to show under which plan of care they are being administered under. For instance under Medicare, these codes may not be covered if performed by a chiropractor.

For instance:

GO = Services delivered under an outpatient occupational therapy plan of care
GP = Services delivered under an outpatient physical therapy plan of care
GN = Services delivered under an outpatient speech therapy plan of care
AT = Active Therapy

If stumped, give them a call and have them point out what they are looking for.
 
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lhoang01

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Thank you for your response, we did have the modifier -GP in on 97014 and 97012. These services are performed by a chiropractor. I tried to solve problem here but where could I find the material abt this?
 
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