United Healthcare Requires 59 Modifier for CPT Code 97530 and CPT Code 97140 Combo

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.

Resources:

• Rebundling and NCCI Edits Policy, Professional
• CCI Editing Policy, Professional
• Common Physical Therapy Billing Modifiers