Upcoming Webinars
-
29 May 2024 12:00 PM (CDT)
-
30 May 2024 12:00 PM (EDT)
Site Updates
-
18 Mar 2024 4:28 PM
-
18 Mar 2024 3:57 PM
-
12 Mar 2024 12:00 PM
-
9 Mar 2024 11:22 AM
-
16 Feb 2024 1:02 PM
Disclaimer
The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
Modifiers Commonly used modifiers when billing for physical, occupational, and speech therapy services. |
Modifier - GP: Services provided under a physical therapy plan of care
Modifier - GO: Services provided under an occupational therapy plan of care
Modifier - GN: Services provided under a speech therapy plan of care
Modifier - KX: Therapists attests that services at and above the therapy caps are medically necessary and justification is documented in the medical record.
Modifier - CQ: Services performed by a physical therapy assistant
Modifier - CO: Services performed by an occupational therapy assistant
Guide on the use of CQ/CO Modifiers
Modifier - 59 See our NCCI Modifier Guide
Modifier - 22: The physician believes the work required to provide a service is substantially is greater than typically required. Documentation must support this substantial additional work and the reason for it
Modifier - 59: A service or procedure is partially reduced or eliminated at the physician’s discretion
Therapy Comply LLC Copyright 2023
Therapy Comply does not claim copyright over US Federal and State materials
CPT codes are copyright 1995-2023 American Medical Association. All rights reserved.
About Us Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices. | Join Us Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars. Members also have access to compliance and billing support. |