Pt billing to aetna

selenasta

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Does aetna pay for 4 modalites for pt and chiro or do they pay 4 units??? I am having a lot of claims denied for only 4 units. When we perform 2 units on 97110 they count it as 2 modalities.. Anyone else having this problem??
 

gabyj1

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West Jordan, UT
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Per my conversation with Aetna their policy is 4 units per day. So, in theory you can only bill 1 hour since each unit is 15 minutes unless otherwise specified by the member's plan. If the member's plan does not specify it is standard Aetna policy.
 
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