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PT Units & Modifiers

  1. #1
    St Louis, MO.
    Default PT Units & Modifiers
    Medical Coding Books
    I have pt assistant under the direction of the physical therapist
    15 min whirlpool(97022)
    10 min therapeutic massage(97110)
    8 min ice packs(97010)
    5 more min of therapautic exercises (97110)

    total of 30 (I believe 2 units)
    My question is do I use all the CPT codes- 97124,97022,97010,97110 and which CPT would I put the units on and do I use a modifier 52 after each cpt code?

  2. #2
    Because you totalled the minutes and only have 2 units, I would bill the top 2 therapeutic procedures with the most time. In your case it would be one unit of 97022 and one unit of 97110. The other 2 services would not be billed. This rule based on time & these procedures are in our LCD, which you may want to double check for your state before you bill.
    Good luck!
    Evangelina Frohna, CPC, CEMC

  3. #3
    Oops, one last thing - no do not append the 52 modifier to all services.
    Evangelina Frohna, CPC, CEMC

  4. #4
    St Louis, MO.
    Thanks a bunch!!

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