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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.

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Therapy Bill Type and Revenue Codes

Bill Type Codes

012x    Hospital Inpatient (Medicare Part B only)

013x    Hospital Outpatient

018x    Hospital - Swing Beds

021x    Skilled Nursing - Inpatient (Including Medicare Part A)

022x    Skilled Nursing - Inpatient (Medicare Part B only)

023x    Skilled Nursing - Outpatient

034x    Home Health Services not under a plan of treatment

071x    Clinic - Rural Health

074x    Clinic - Outpatient Rehabilitation Facility (ORF)

075x    Clinic - Comprehensive Outpatient Rehabilitation Facility (CORF)

077x    Clinic - Federally Qualified Health Center (FQHC)

085x    Critical Access Hospital

Revenue Codes

Physical Therapy

0420    Physical Therapy - General Classification

0421    Physical Therapy - Visit

0424    Physical Therapy - Evaluation or Re-evaluation

0429    Physical Therapy - Other Physical Therapy

Occupational Therapy

0430    Occupational Therapy - General Classification

0431    Occupational Therapy - Visit

0434    Occupational Therapy - Evaluation or Reevaluation

0439    Occupational Therapy - Other Occupational Therapy

Speech Therapy

0440    Speech-Language Pathology - General Classification

0441    Speech-Language Pathology - Visit

0442    Speech-Language Pathology - Hourly

0443    Speech-Language Pathology - Group

0444    Speech-Language Pathology - Evaluation or Reevaluation

0449    Speech-Language Pathology - Other Speech Therapy


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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.

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