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Physical Therapy Coding Question

  1. #1
    Location
    Chicopee, Mass
    Posts
    75
    Default Physical Therapy Coding Question
    Medical Coding Books
    I really need some direction when using CPT codes 97140 and 97012 together. I know that the NCCI bundles them as mutually exclusive codes, and could probably use a 59 modifier, but should they really be billed together? Does anyone else bill them out together during the same session?

    Thanks!

  2. #2
    Location
    Columbia, MO
    Posts
    12,531
    Default
    You can use a modifier but only if you are performing these actions on two different areas of the body. If this is the same area then it is mutually exclusive and only one can be billed.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    Michelle I am confused . I am ignorant of these type of codings . Yet i would like to ask my doubts: 97012 is a supervosory code wherein th epresence of provider is not needed.
    But 97140 is a therapeutic code wherein the presence(1-0-1) of the provider is needed .
    2) what do they mean by "exclusive of" (it is not inclusive of anyway!).
    can I have some enlighening shots!!?

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    when I looked these up I get: 97012 is a manual traction code and 97140 is a manual therapy code. They consider these to be two modalities that are not possible for the same area in the same session. That is the mutually exclusive part.

    Debra A. Mitchell, MSPH, CPC-H

  5. Default
    Wow I got it. I understand.Thank you Mitchellde

  6. #6
    Location
    Chicopee, Mass
    Posts
    75
    Default
    Thank you for your help!

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