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Wiki Physical Therapy code eval and activity with 59 modifier

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amyschneberger

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My physical therapist seems to believe that he can code an eval 97001 or reeval 97002 along with a TA (97530) and/or TE (97110) as long as he appends a -59 modifier. Are these activity codes considered bundled into the eval code or is it a separte billable procedure since everything is pertaining to the same diagnosis? thanks for your help
 
The eval and re-eval are both billable along with 97110 and 97530. The 97001 does not need a 59 modifer and should not be considered bundled. The 97002 is considered bundled, but if the re-evaluation is done during a seperate time frame from the other codes (ie, the first 30 minutes was used for the re-evaluation, then 10 minutes for the TE/TA), you can append a 59 modifier. Be sure documentation supports the time spent on each service. Hope this was of some help.

~Kascia Henderson, CPC :D


--My physical therapist seems to believe that he can code an eval 97001 or reeval 97002 along with a TA (97530) and/or TE (97110) as long as he appends a -59 modifier. Are these activity codes considered bundled into the eval code or is it a separte billable procedure since everything is pertaining to the same diagnosis? thanks for your help--
 
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