Select Page
Unitedhealthcare 59 modifier

News 2022: Unitedhealthcare Requires 59 Modifier for Therapy Services

Despite the recent changes to the NCCI edits no longer requiring CPT Code 97530 to require a 59 modifier when billed on the same date of service and by the same therapist as CPT Code 97140 some therapists recently have reported non-payments when these two CPT Codes are billed on the same date of service to Unitedhealthcare without the 59 modifer.

Medicare physical therapy cap 2022

Medicare physical therapy cap 2022

What is the Medicare therapy threshold (formerly the therapy cap) for physical therapy in 2022? The 2022 Medicare therapy financial threshold for physical therapy is $2,150. Keep in mind that services delivered for speech-language pathology in the...

read more