Therapeutic Procedures - 97110, 97112, 97116 & 97530

JRDAKOTA1

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We have a question in our office:

Is it possible to bill these services this way?

2 units 97110; 1 unit of 97112; 1 unit of 97116 and 2 units of 97530 for one patient in one time period? This patient is a ten year old.

If we are understanding this correctly, is this an 1 1/2 hours of therapy? and is this possible?

Thank you for any information - we appreciate it.
 
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114
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Madison Area Chapter in Madison WI
Best answers
0
We have a question in our office:

Is it possible to bill these services this way?

2 units 97110; 1 unit of 97112; 1 unit of 97116 and 2 units of 97530 for one patient in one time period? This patient is a ten year old.

If we are understanding this correctly, is this an 1 1/2 hours of therapy? and is this possible?

Thank you for any information - we appreciate it.
From a coding perspective, it is possible if all these services were provided and documented. However, I would question the medical necessity of all these services.
 

sdauteuil

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Messages
5
Best answers
0
We have a question in our office:

Is it possible to bill these services this way?

2 units 97110; 1 unit of 97112; 1 unit of 97116 and 2 units of 97530 for one patient in one time period? This patient is a ten year old.

If we are understanding this correctly, is this an 1 1/2 hours of therapy? and is this possible?

Thank you for any information - we appreciate it.

You may code these as above it depends on the insurance company whether they will pay or not. I am in Hawaii blue cross blue shield here allows up to 2 hours of therapy. Medicare will also pay but repeated sessions that go over 1 hour may cause an audit.
 
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