Wiki Physical Therapy - under physicans NPI #

[BarbaraCouch]

We are a medical office that is bringing in a Physical Therapist to do PT on patients. The Therapist is NOT an employee of the Practice, but we will be billing for the Therapist under the Physician's NPI number. How is this done? Is the GP modifier needed? Is that the only thing that is needed on the claims?

 

[tpadgett]

I code PT and Yes we use the GP Modifier on all PT. We also code the V57.1 as the first DX and then the problem under that.

Teresa

 

[mitchellde]

We are a medical office that is bringing in a Physical Therapist to do PT on patients. The Therapist is NOT an employee of the Practice, but we will be billing for the Therapist under the Physician's NPI number. How is this done? Is the GP modifier needed? Is that the only thing that is needed on the claims?

When you bill using your physician NPI as the rendering provider when some other medical professional provided the service, this is an incident to claim. Which means the person providing the service must be a direct employee of the physician.
Yes you use the modifier and you use the V57.1 as the first list dx code.