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.
CPT Code 97140 Manual Therapy
CPT Code 97140 Documentation Guidelines Medicare Part B - According to Medicare LCD L34049 "Documentation must clearly support the need for continued manual therapy treatment beyond 12-18 visits. When the patient and/or caregiver has been...
Physical Therapy Business SWOT Analysis
Physical Therapy Business SWOT Analysis Strengths Weaknesses Opportunities Threats Physical Therapy Private Practice Strengths 2022 has seen some major challenges for small physical therapy private practices. Declining Medicare reimbursement...
Most COMMON Physical Therapy Billing Modifiers
5 Most Common Physical Therapy Billing Modifiers GP CQ KX GA 59 GP Physical Therapy Billing Modifier "GP = Services delivered under an outpatient physical therapy plan of care." When a physical therapist is delivering the clinical service a "GP"...
