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Thread: Therapeutic procedure

  1. #1

    Default Therapeutic procedure

    AAPC: Back to School
    what should be done if insurance is denying CPT 97112-GP as inclusive with other procedure 99245. Modifier GP signify 'service delivered under an outpatient physical therapy plan of care'.

  2. #2
    Join Date
    Apr 2007
    Athens, Ga.


    Did you bill 99245 with a mod-25 ???? If not, you need one.
    Walker Bachman, CPC, CPPM

  3. #3


    E/M 99245 is billed with mod 25

  4. #4
    Join Date
    Apr 2007
    Athens, Ga.


    Hmmm... that's a tough one. I don't see anything inherently wrong with it. Anyone?
    Walker Bachman, CPC, CPPM

  5. #5


    physical therapist should not be using CPT 99245. What type of provider is providing the services.

  6. #6


    You cannot use office visit codes for physical therapy.

    If a PT seen pt 1st time, code is 97001-25. If an OT seen pt, code is 97003-25.

    Re-evaluations for PT is 97002-25. OT is 97004-25

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