Wiki Pt/ankle surgeon

[mconnolly]

HI, WE HAVE AN ANKLE SURGEON WHO IS BILLING FOR P/T FOR SOME OF HIS PATIENTS. MEDICARE IS DENYING FOR REQUIRED MODIFIER MISSING. THE CODES ARE: 97112,97110,97140. I LOOKED UP THE LCD POLICY ON THESE CODES AND THERE IS NOTHING ABOUT A MODIFIER AND CCI EDITS DO NOT INDICATE THAT A 59 NEEDS TO BE USED ON ANY OF THESE CODES. DOES ANYONE KNOW WHICH MODIFIER THEY ARE LOOKING FOR? I WOULD APPRECIATE ANY INPUT.

THANK YOU

 

[CodingKing]

[FONT=open sans, Arial, sans-serif]You will want one of the following modifiers:[/FONT]

• GO - Services delivered under an outpatient occupational therapy plan of care; or,
  
  
• GP - Services delivered under an outpatient physical therapy plan of care.

 

[mconnolly]

Thank you so much, i never would have known that.