cwilson3333
Expert
New to physical therapy billing. Still hunting for answers.
Does 97001, Medicare, always require C modifiers [Severity level] along with
G codes [functional] Therapists have been only using the G functional codes, and not adding the C modifiers. I know GP is used on each procedure.
Next question:
The new X [EPSU] codes. Are they only for Medicare and do they definitely have to be used at this time, or can I continue with modifier 59. These codes also should be entered by the therapist?
Sorry, but thank you to all.
CW
Does 97001, Medicare, always require C modifiers [Severity level] along with
G codes [functional] Therapists have been only using the G functional codes, and not adding the C modifiers. I know GP is used on each procedure.
Next question:
The new X [EPSU] codes. Are they only for Medicare and do they definitely have to be used at this time, or can I continue with modifier 59. These codes also should be entered by the therapist?
Sorry, but thank you to all.
CW