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 Therex 97110
CPT Code Therex 97110 CPT Code Therex 97110 (Therapeutic Exercise) was the 4th highest ranked procedure code listed on the 2021 CMS CERT Overpayment Top 20 List.What is the Medicare definition of CPT Code Therex 97110? Reference: LCD L34049...
Medicare Provider Enrollment Rejection
Nothing is more frustrating than when you Medicare provider enrollment rejection notice arrives in your email inbox. What happens if your physical therapy Medicare provider enrollment application is denied? If you are a physical therapist applying...
Does Medicare Cover Massage Therapy
Massage therapy is only a covered service for Medicare when it is provided as part of a comprehensive treatment. When providing massage only it is not a covered service and therefore providers are allowed to provide it to Medicare beneficiaries for cash pay (self pay) physical therapy.
