Medical Billing Forum

Coding => Coding => Topic started by: jwoman9835 on August 28, 2009, 07:56:48 PM

Title: exceeding physical therapy cap
Post by: jwoman9835 on August 28, 2009, 07:56:48 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
Title: Re: exceeding physical therapy cap
Post by: Michele on August 29, 2009, 07:01:29 AM
Are you referring to a specific carrier?  I'm only aware of Medicare's cap and that is $1740.00.

Michele
Title: Re: exceeding physical therapy cap
Post by: jwoman9835 on August 29, 2009, 12:57:39 PM
Yes, only Med B I'm referring too.
Jill