Is 97012 covered by Medicare?
Services that do not meet the requirements for covered therapy services in Medicare manuals are not payable using codes and descriptions as therapy services. To be considered reasonable and necessary, the services must meet Medicare guidelines. …
Is 97113 covered by Medicare?
Under Medicare, time spent in documentation of services (medical record production) is part of the coverage of the respective CPT code. CPT codes 97110, 97112, 97113, 97116, and 97530 describe several different types of therapeutic interventions. For example, 10 units of time for 5 different codes would be unlikely.
Does Medicare cover Phonophoresis?
Phonophoresis is reimbursable by Medicare. Phonophoresis is using Ultrasound to enhance the delivery of that topically applied drug. Separate payment is not made for the contact medium or for the drug that is being utilized but you can bill your phonophoresis as ultrasound and that is reimbursable by Medicare.
Can a massage therapist Bill 97112?
The CPT codes massage therapists can use without question are: 97010 – hot and cold packs; 97124 – massage; and 97140 – manual therapy. 97112 is not the code for neuromuscular therapy; use 97140 instead. …
Is 97012 a timed or untimed code?
Performing treatment based on an ‘untimed’ CPT code means that you won’t need to record the specific amount of time spent performing the treatment. Regardless of whether you spend 10, 20, or 30 minutes assisting a patient with mechanical traction (CPT 97012), you can only bill 1 unit.
Is 97113 a timed code?
The correct code for billing aquatic physical therapy services is 97113. This is a timed code that includes therapeutic exercise, allowing one unit for each 15 minutes of direct service.
Does CPT code 97113 need a modifier?
In other words, you can perform the following services—and receive payment for them—without needing to affix modifier 59: 97110 with 97164. 97112 with 97164. 97113 with 97164.
What is the difference between Phonophoresis and iontophoresis?
Phonophoresis is a physical agent, which utilizes ultrasound with a topical drug to facilitate transdermal drug delivery. Iontophoresis is the transcutaneous delivery of ions into the body for therapeutic purposes using a DC electrical current.
When to use CPT code 97022 for Whirlpool?
If greater than 8 visits are needed for whirlpools that require the skills of a therapist, the documentation should support the medical necessity of the continued treatment. Only 1 unit of CPT code 97022 should be billed per date of service.
What is the code for whirlpool in CPT?
A: The CPT code 97022 is defined simply as “Application of a modality to 1 or more areas; whirlpool”. The CPT book does not expand on the code. However, in 2002, the CPT manual added this phrase to the general guidelines:
Can you use 97022 for dry hydrotherapy?
If a payer claims to follow CPT guidelines, then a case may be made for the use of 97022 for dry hydrotherapy. However, when looking at CMS and other payer guidelines, as well as requirements for the application of clinical skill, many payers will likely deny the use of this code for those services.
What do modality codes 97012-97028 require?
1. Modality codes 97012-97028 require supervision (but not one-on-one) by the provider; and 97032-97039 require direct (one-on-one) contact with the patient by the provider. These services may be provided “incident to” a physician’s services and, if so, must be directly supervised by the physician in his/her office.