therapy billing to medicare

[KARREN]

Need Help!
I am billing for a Clinic and the MD is now doing therapy on a few patients.   
Example:The MD uses 99213 and therapy codes 97014, 97012,97110 (all the document supports these codes, to include functional reporting codes)
99213-25, 97014-59 GP, 97012-GP,  97110-GP,  G8981 -CL GP,  G8982-CI GP ( would this be the correct way to bill?)

When billing claims to Medicare should the MD be using 97001 and 97002 for initial eval and/or re-eval  instead of  99213?

Is 97001 & 97002 eval codes for Physical therapist only?  Or Is it ok for an MD to use this codes as well when billing therapy charges?

I'm confuse on which eval codes the MD should use, when researching material I have found 97001 & 97002 is for physical therapist.   

[Michele]

Thank you for being so specific with your question.  However, Without access to the chart and not being a certified coder I am limited in what I can say. 

First if the MD is doing the therapy I would think he would choose either an E&M code or the 97001/97002 based on the service he provides.  For example, if he is simply doing a PT evaluation then I would think he might want to use the 97001/97002, but if he's doing a medical visit, meaning other medical services were provided as well as the evaluation then the E&M code would be more appropriate.  I would think that in a visit with the MD more might be being covered than simply the evaluation for the PT.  There is nothing that says that an MD cannot bill 97001/97002 however some insurance carriers may not allow those codes when billed by an MD.

I hope that helps!