Medical Billing Forum

Coding => Coding => : jwoman9835 August 28, 2009, 10:56:48 PM

: exceeding physical therapy cap
: jwoman9835 August 28, 2009, 10:56:48 PM

Hi,
does coding for OP PT have to be changed or have a modifier to exceed the $1500 cap outside of hospital due to medical necessity? or is it adequate to document need in documentation?
Jill Rubin, PT

: Re: exceeding physical therapy cap
: Michele August 29, 2009, 10:01:29 AM

Are you referring to a specific carrier?  I'm only aware of Medicare's cap and that is $1740.00.

Michele

: Re: exceeding physical therapy cap
: jwoman9835 August 29, 2009, 03:57:39 PM

Yes, only Med B I'm referring too.
Jill