Medical Billing Forum

Coding => Coding => : FirstMedicalBilling October 18, 2013, 01:24:01 PM

: Physical Therapy home visits (S9131) modifier
: FirstMedicalBilling October 18, 2013, 01:24:01 PM
We got a denial from Amerigroup asking for a modifier for PT home visit S9131.
Does anyone know the correct modifier?. We tried using GP, CK but still receiving denials.
: Re: Physical Therapy home visits (S9131) modifier
: Merry October 18, 2013, 06:34:10 PM
Is Amerigroup a commercial co or a Medicare HMO? Assume this service is being performed by a licensed PT. Is the patient unable to leave the home? Is the PT working with a Home Health Agency? Can you share the specifics?
: Re: Physical Therapy home visits (S9131) modifier
: FirstMedicalBilling October 22, 2013, 02:48:31 PM
1. Amerigroup Medicaid HMO.
2.Yes
3.Yes
: Re: Physical Therapy home visits (S9131) modifier
: Merry October 22, 2013, 07:41:39 PM
I would go to their website and check to see what their code requirements and modifiers are.
I am unable to logon to the provider section but here it is https://providers.amerigroup.com/help/pages/login.aspx. You probably have the passwords etc to log in.
Hope that this helps
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