• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki wheelchair management

Create Wiki
A

alh728

Guest
Messages
4
Best answers
0
Hello All,

I have a PCP who is billing 97542/wheelchair management. Medicare denied the claim indicating a modifier is required. Being this is generally an OT/PT code I'm assuming they're looking for a 'GO' or 'GP' modifier, however I am having a hard time finding any guidance on alternative modifiers to use for a case like this when it is a PCP performing the service. Can anyone advise?

TIA!
 
The patient may be evaluated to determine what kind of wheelchair would be appropriate, or the patient may receive training on use of the wheelchair. The provider assesses wheelchair appropriateness and safe use (stability, balance, pressure management) based on the patient's functional abilities/goals. The provider is present for the treatment. This code reports 15 minutes of treatment.

Report with modifiers -GP or -GO to indicate service is part of a plan of care.
 
You must log in or register to reply here.
Top