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Physical Therapy code eval and activity with 59 modifier

  1. Question Physical Therapy code eval and activity with 59 modifier
    Medical Coding Books
    My physical therapist seems to believe that he can code an eval 97001 or reeval 97002 along with a TA (97530) and/or TE (97110) as long as he appends a -59 modifier. Are these activity codes considered bundled into the eval code or is it a separte billable procedure since everything is pertaining to the same diagnosis? thanks for your help

  2. Default
    The eval and re-eval are both billable along with 97110 and 97530. The 97001 does not need a 59 modifer and should not be considered bundled. The 97002 is considered bundled, but if the re-evaluation is done during a seperate time frame from the other codes (ie, the first 30 minutes was used for the re-evaluation, then 10 minutes for the TE/TA), you can append a 59 modifier. Be sure documentation supports the time spent on each service. Hope this was of some help.

    ~Kascia Henderson, CPC


    --My physical therapist seems to believe that he can code an eval 97001 or reeval 97002 along with a TA (97530) and/or TE (97110) as long as he appends a -59 modifier. Are these activity codes considered bundled into the eval code or is it a separte billable procedure since everything is pertaining to the same diagnosis? thanks for your help--

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