MEDICARE functional reporting codes

[KARREN]

I am now billing for a DO (osteopath) who does therapy billing..  I get fee slips with  99213,97140 59GP, 97110 59GP, 97012 GP AND G0283.  in the past medicare paid.  Now I am a little confused because of the functional reporting codes, does this mean i should now bill this like this..  (once the doctor provide the info) Example the initial dos 99213,9714059GP,9711059GP,97012GP,G0283, G8978 CN, G8979 CL then every 10 visits update the functional reporting codes (G8978 ,G8979) until discharge therapy episode..
do I only use functional reporting codes if 97001 or 97002 is being billed.  Should the DO be using the 97001-97002 for eval/re-evals instead of 99213 when billing therapy codes..   please help..   Thanks

[shanbull]

Yes on the G-codes, you will also need to add the GP modifier to them as well. And yes, they are only required on eval/re-eval and every 10th visit. And on discharge you would bill codes G8979 (goal status) and G8980 (actual status at discharge).

And yes, 97001 or 97002 should be billed instead of E&M codes if it's a therapy evaluation.

Here is my favorite functional reporting info packet, I keep it handy whenever I have questions: http://www.functionallimitationreporting.com/#q01

[KARREN]

awesome, thank you so mcuh..