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Thread: PT in Telehealth

  1. #1

    Default PT in Telehealth

    AAPC: Back to School
    Does anyone know this? I believe the telehealth billing is clear - one just uses a modifier to indicate that the service was provided via telehealth. But , what CPT codes are reimbursed for a physical therapist treatment - and for medicaid, does the therapist need a prior authorization to treat. If not - how many visits before a prior authorization is needed?

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    Are you asking if Physical Therapy can be billed via telehealth? Or are you using PT to mean something else? I ask because I can't imagine Physical Therapy being done remotely via telehealth. I realize that not all PT services require direct one-on-one contact - but those that do certainly could not be performed via telehealth.

    Physical Therapy services are not on the list of eligible telehealth services in CMS' IOM. Here is the link: http://www.cms.gov/manuals/downloads/clm104c12.pdf
    Either type telehealth in the search function, or go to page 180 for the list of services.

    I hope this helps.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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