Wiki Therapeutic Procedures - 97110, 97112, 97116 & 97530

[JRDAKOTA1]

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.

 

[Claudia Yoakum-Watson]

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]

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.

 

[JRDAKOTA1]

Thank you for your help. It is greatly appreciated.