Results 1 to 4 of 4

Therapeutic Procedures - 97110, 97112, 97116 & 97530

  1. Default Therapeutic Procedures - 97110, 97112, 97116 & 97530
    Medical Coding Books
    We have a question in our office:

    Is it possible to bill these services this way?

    2 units 97110; 1 unit of 97112; 1 unit of 97116 and 2 units of 97530 for one patient in one time period? This patient is a ten year old.

    If we are understanding this correctly, is this an 1 1/2 hours of therapy? and is this possible?

    Thank you for any information - we appreciate it.

  2. #2
    Location
    Madison Area Chapter in Madison WI
    Posts
    113
    Default
    Quote Originally Posted by JRDAKOTA1 View Post
    We have a question in our office:

    Is it possible to bill these services this way?

    2 units 97110; 1 unit of 97112; 1 unit of 97116 and 2 units of 97530 for one patient in one time period? This patient is a ten year old.

    If we are understanding this correctly, is this an 1 1/2 hours of therapy? and is this possible?

    Thank you for any information - we appreciate it.
    From a coding perspective, it is possible if all these services were provided and documented. However, I would question the medical necessity of all these services.
    Happy Coding, Claudia


    Claudia Yoakum-Watson, CPC
    Coding, Compliance, & Reimbursement Solutions
    [email]ccrsconsulting@tds.net
    ccrsconsulting.com - website

  3. Default
    Quote Originally Posted by JRDAKOTA1 View Post
    We have a question in our office:

    Is it possible to bill these services this way?

    2 units 97110; 1 unit of 97112; 1 unit of 97116 and 2 units of 97530 for one patient in one time period? This patient is a ten year old.

    If we are understanding this correctly, is this an 1 1/2 hours of therapy? and is this possible?

    Thank you for any information - we appreciate it.

    You may code these as above it depends on the insurance company whether they will pay or not. I am in Hawaii blue cross blue shield here allows up to 2 hours of therapy. Medicare will also pay but repeated sessions that go over 1 hour may cause an audit.

  4. Default
    Thank you for your help. It is greatly appreciated.

Similar Threads

  1. 97140 & 97530?
    By keke74 in forum Outpatient Facilities
    Replies: 3
    Last Post: 01-17-2012, 03:29 PM
  2. PT / OT Therapeutic procedures
    By Audrey49 in forum Orthopaedics
    Replies: 0
    Last Post: 06-16-2011, 10:41 AM
  3. Therapeutic Procedures
    By mosmith in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-23-2010, 01:50 PM
  4. 97110 & 97112
    By raynas613 in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 01-26-2010, 12:31 PM
  5. Wiki CPT 97110 vs. 97530
    By melissa.sharrard in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-02-2009, 03:19 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?

Login

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.