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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.
Prescription/Referral |
All PT/OT services must have a written order, referral, or prescription by any of the following:
NPI Numbers
Ordering, prescribing, and referring (OPR) National Provider Identification (NPI) numbers be on the claim form:
Early Intervention
Outpatient PT/OT ordered in conjunction with an approved IFSP for Early Intervention may not necessarily have an ordering provider. Under this circumstance alone the rendering provider must use their own NPI number as the OPR NPI number.
Reference
Colorado Department of Health Care Policy & Financing
Physical and Occupational Therapy Billing Manual
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CPT codes are copyright 1995-2023 American Medical Association. All rights reserved.
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