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Billing PTA services ‘incident to’ physician services FAQ
Last Modified: 9/25/2019
Location: FL, PR, USVI
Business: Part B
Q: Can services of a physical therapy assistant be billed "incident to" a physician’s services? A: No. The services provided by physical therapist assistants (PTAs) cannot be billed incident to a physician/non-physician practitioner’s (NPP), because PTAs do not meet the qualifications of a therapist. Only the services of a licensed/registered physical therapist can be billed “incident to” a physician service. PTAs may not provide evaluation services, make clinical judgments or decisions or take responsibility for the service. PTAs act at the direction and under the supervision of the treating physical therapist and in accordance with state laws. The services of the PTA are only billable when provided under the direct supervision of the physical therapist and under their national provider identifier (NPI) number.
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