Results 1 to 4 of 4

Pelvic Muscle Rehab

  1. Default Pelvic Muscle Rehab
    Exam Training Packages
    Our CRNP is doing pelvic muscle rehab on male & female pts for stress incontinence. I am getting conflicting info on how to bill this. Currently we are billing a 51784, 91122, 97032-GP, 97750-GP for each visit. She is performing each of these procedures. However, I have been told these need to be done only 3 times, at the first visit, at a visit in the middle of the program and the last visit. I am also looking for any articles on these codes and/or this entire plan of care. Thanks for you help!

    FMSawyer

  2. #2
    Default
    We recently met with Mark Painter - we were told to bill the following:

    o Week 1 – Initial consult –
    99215 – Level 5 established patient
    97032 – E-Stimulation
    97750 – Physical Performance
    o Week 2
    99212 – Level 2 established patient
    97032
    97750
    o Week 3
    99212
    97032
    97750
    o Week 4
    99212
    97032
    97750
    o Week 5
    99215
    97032
    97750


    We were told we can't bill out the 91122 without a constipation diagnosis. You can bill out the 51784 if the documentation supports, but not every visit. I'm not sure what the GP modifier is, I've never seen that one. Hope this helps some....

    Thanks
    Sincerely,

    Kristie Stokes, CPC, CPMA, CCS, CMDP, ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

  3. Default
    Dear Kristie,

    Thanks for your response to my post. We have to use the GP mod on the PT codes 97032 & 97750 this indicates the PT is being performed by someone who is not a certified phys. therapist.

    In your meeting w/Mark Painter did he indicate using the 25 mod on the E&M codes along with the PT codes? Or is there a different ruling for the use of an E&M code when billed w/PT codes? I have never billed PT codes so I am not sure on this.

    Also is there a limitation to the number of visits allowed? Or is dependent on the response the patient is having?

    Thanks for your reply.
    Faith Sawyer, CPC

  4. #4
    Default
    Faith,

    I'm sorry, yes you use a 25 modifier. He didn't say there was a limit. I think we typically go up to 5 visits if the patient is slow to respond, less if they are responding well. AUA coding today doesn't show a limitation cap.

    Thanks


    Quote Originally Posted by fmsawyer View Post
    Dear Kristie,

    Thanks for your response to my post. We have to use the GP mod on the PT codes 97032 & 97750 this indicates the PT is being performed by someone who is not a certified phys. therapist.

    In your meeting w/Mark Painter did he indicate using the 25 mod on the E&M codes along with the PT codes? Or is there a different ruling for the use of an E&M code when billed w/PT codes? I have never billed PT codes so I am not sure on this.

    Also is there a limitation to the number of visits allowed? Or is dependent on the response the patient is having?

    Thanks for your reply.
    Faith Sawyer, CPC
    Sincerely,

    Kristie Stokes, CPC, CPMA, CCS, CMDP, ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

Similar Threads

  1. Pelvic Muscle Rehabilitaion
    By mdavydov0507@gmail.com in forum Urology
    Replies: 0
    Last Post: 06-13-2012, 10:22 AM
  2. Pelvic Floor Rehab
    By Swilliams722 in forum Urology
    Replies: 1
    Last Post: 05-11-2012, 12:40 PM
  3. Pelvic Floor Rehab
    By Swilliams722 in forum Urology
    Replies: 0
    Last Post: 05-11-2012, 11:42 AM
  4. Pelvic floor muscle stimulation report
    By LDH CPC CPMA in forum Urology
    Replies: 1
    Last Post: 11-22-2010, 02:16 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.