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Modifier for CPT 97750

  1. #1
    Somers Point New Jersey
    Smile Modifier for CPT 97750
    Medical Coding Books
    Hi Friends,

    Please help me with this

    Our provider of Physical Medicine & Rehabilitation performs balance screening with written report for 15 min.

    We are using CPT 97750 [Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ] for coding the same. Dx are Gait abnormality & Lack of co-ordination.

    Medicare has denied the claim stating missing / invalid modifier.

    Do we have to add RT, LT , 50 or any other specific modifier ?

    Anuja A. Devasthali, CPC-A.

  2. #2
    It has been awhile since I did rehab and I don't have any back up on this right off hand but I believe the modifiers they are looking for are either GO or GP, which denote whether it is an occupational therapist or a physical therapist.

    Hope this helps,

    Laura, CPC, CEMC

  3. #3
    Somers Point New Jersey
    Thank you very much. At least we have got some nice direction.

    Anuja, CPC-A.

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