Last Modified: 6/18/2018 Location: FL, PR, USVI Business: Part A, Part B
Billing multiple modalities in same 15 minutes FAQ
Q: Is it permissible for a therapist to bill for more than one therapy service that was furnished within the same 15-minute time period?
A: A therapist may bill for more than one therapy service that was furnished within the same 15-minute time period when "supervised modalities" have been defined by the American Medical Association (AMA) as “untimed and unattended and not requiring the presence of the therapist” (Current Procedure Terminology® codes 97010 to 97028). One or more supervised modalities may be billed in the same 15-minute time period with any other CPT® code, timed or untimed, requiring constant attendance or direct one-on-one patient contact. However, any actual time the therapist uses to attend one-on-one to a patient receiving a supervised modality cannot be counted for any other service provided by the therapist.
Source: CMS internet only manual (IOM) Pub. 100-04, Chapter 5, Sections 20.2 B-D and 20.3
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