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New NCCI Section

8 Feb 2021 11:49 AM | Zachary Edgar (Administrator)

Please enjoy our new NCCI section for therapy services.   Each section has been updated to the new January 2021 edits. 

Procedure to Procedure (PTP) Edits 

  • PTP Basics
  • Using Modifier 59 and X~ Modifiers
  • PTP Hospital Edits
  • PTP Practitioner Edits 

Policy for Physical Medicine and Rehabilitation - January 1, 2021 (updated yearly)

  • Multiple Evaluations on the Same Day
  • Evaluations and other Assessment Codes
  • Billing more than one Service in a 15 Minute Period
  • Re-evaluations
  • Re-evaluation and Orthotic/Prosthetic Management
  • Assistive Technology Assessment
  • Manual Therapy Techniques and Therapeutic Activities (Removed Jan. 1, 2021)
  • Wound Debridement and Surgical Debridement
  • Cardiac Rehabilitation and other Therapy Services
  • Ultrasound and Wound Care

Medically Unlikely Edits - January 1, 2021

  • Physical Therapy Evaluations and Reevaluations
  • Occupational Therapy Evaluations and Reevaluations 
  • Speech Therapy 
  • Modalities 
  • Therapeutic Procedures
  • Assessments and Orthotics/Prosthetics 
  • Range of Motion and Canalith
  • ADL and Work Conditioning 
  • Wound Care
  • Biofeedback Training


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