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 95992
CPT Code 95992 CPT 95992 – Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day* Source: NGS A56566 Appropriate Diagnosis to Charge CPT Code 95992 H81.11 - Benign paroxysmal vertigo, right ear H81.12 - Benign...
Reason Code 4 | Remark Code N519 Physical Therapy Denial
Reason Code 4 Medicare Remarks: "The procedure code is inconsistent with the modifier used or a required modifier is missing." The most common reason for this denial is a missing professional discipline modifier. GP Modifier Physical Therapy GO...
How to Confirm a PT Patient has Traditional Medicare vs Medicare Advantage
Traditional Medicare vs Medicare Advantage Plans Medicare Part B Traditional Medicare is often referred to as Medicare Part B. This plan pays for outpatient services which include physical therapy in private practice. Medicare Part C Medicare...
