AAPC - Back to school
Results 1 to 4 of 4

Thread: Therapy codes(97010,97012,97112)

  1. #1

    Default Therapy codes(97010,97012,97112)

    AAPC: Back to School
    Medicaid denied that these therapy codes need modifier I added AT. But Medicaid Denied that use appropriate modifier. Can any body please help me? I will really appreciate.

  2. #2
    Join Date
    Apr 2007
    Phoenix, AZ


    Are these the only codes that you billed on the claim? 97010 is a bundled code. You cannot add a modifier to it. If this is for PT, you need to bill Medicare with modifier GP on all codes.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3


    No, not only these codes,95851,97035,97112,97012&99214 are also included.These are therapy codes which were provided in a physician office.

  4. #4
    Join Date
    Apr 2007
    Phoenix, AZ


    Hmmm, and the services were provided by the physician or a PT? I don't have any experience billing for therapy codes provided by an MD.

    Medicare usually only allows 4 units of treatment per day. If you are trying to bill all of these codes together along with the 97010. That's 5 units plus the 99214.

    Would it be possible for you to post the chart note or email it to me? I would think posting the note would be better so that anyone with rehab physician billing experience could give you a better opinion. My email is callen@azheart.com. I work for cardiologists now but billed PT/OT/MT for over 13 years.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

Similar Threads

  1. Physical Therapy CPT 97010 Hot/Cold Packs
    By msingh23 in forum Orthopaedics
    Replies: 7
    Last Post: 10-08-2014, 11:31 AM
  2. Code 97012
    By claudineerie@hotmail.com in forum Chiropractic
    Replies: 3
    Last Post: 04-11-2014, 06:22 AM
  3. PT codes 97112 and 97014
    By Lanter in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-27-2013, 08:37 AM
  4. CPT Codes 97022 & 97012
    By leslie0269 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 12-16-2010, 03:52 PM
  5. Codes for Music Therapy/Art Therapy/Recreational Therapy
    By msmit424 in forum Behavioral Health
    Replies: 1
    Last Post: 10-06-2010, 05:29 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?


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.