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What modifier is used with 97012?
59 modifier
Whether it’s 97012 or 97140, by appending the 59 modifier, you will ensure that you receive reimbursement for both services.
Is 97012 a timed code?
For example, a patient under a PT plan of care receives skilled treatment consisting of 20 minutes of therapeutic exercise (CPT 97110) and 20 minutes of gait training (CPT 97116). The total “Timed Code Treatment Minutes” documented will be 40 minutes….Is 97012 a timed code?
| 97110 | Therapeutic Exercise |
|---|---|
| 97018 | Paraffin Bath |
Does Medicare pay for 97012?
Supportive Documentation Requirements for 97012 CPT 97014 is not a Medicare recognized code. See HCPCS code G0283 for electrical stimulation (unattended).
Can acupuncturists bill E&M codes?
Can an acupuncturist bill for an “office visit” on all visits in addition to the acupuncture codes? No, you may not bill for an “office visit” or more correctly, an evaluation and management service (E&M Codes 99211 through 99215), on each visit.
Is there a modifier for medical billing code 97012?
In that day of service, we billed 4 codes 98940, 97014, 97010 and 97012. Does anyone have any suggestion of the modifiers for these codes in future?
Do you need a Gy modifier for 97140?
Both a GP and a GY modifier will now need to be appended to most therapy codes on all claim submissions, effective for dates of service on and after July 1, 2003 (Examples: 97012-GPGY, 97035-GPGY, G0283-GPGY, 97124-GPGY). The second list requires the use of the GP modifier only under certain conditions.
Do you need a KX modifier for 97112?
Added KX modifier to both 97112/59/KX & 97760/KX. Medicare denied 97112 for Procedure code inconsistant with modifier used or required modifier is missing. What is the correct way to bill this, please?
Do you need a modifier to Bill 97530?
The -59 indicates that you are “providing separate and distinct services not often performed together”. One may also ask, does 97164 need a modifier? Yes, you are permitted to bill 97530 with 97164 if you use the 59 modifier/X modifier. If you do not bill with the appropriate modifier, then 97164 (Column Two code) will be denied.