• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 22nd May, 2022. The site will be offline from 9:30PM (MT) till 11:30 PM MT. We apologize for any inconvenience this may cause.

Modifier ?


Best answers
Hi I work as a Billing Manager for a Chiropractor and I am wondering if someone may be able to help out with a modifier/coding question. I am trying to find out what the guidelines are or the way I should bill correctly in regards to a code. 97110 is a code we use for Rehab exercises and my ? is this, if we have different levels of this Rehab exercise for example 1, 2, 3 but for what ever reason the pt has to do two different levels of rehab exercise say 1 and 3 how would I bill for that because it is the same code? Isn't there a modifier or certain code that I need to list to show that these are two different services? Thanks for any help you might be able to give....



True Blue
Port Saint Lucie, FL
Best answers
97110 is a time based code if I remember correctly. check this CMS website it should give you what you are looking for.

Guidelines for reporting length of time/beginning and ending time of PT timed codes can be found in Pub. 100-04, Medicare Claims Processing Manual, Chapter 5, §20.2

here is also a link that I found with some good resources.