Medical Billing Forum

Coding => Coding => Topic started by: FirstMedicalBilling on October 18, 2013, 10:24:01 AM

Title: Physical Therapy home visits (S9131) modifier
Post by: FirstMedicalBilling on October 18, 2013, 10:24:01 AM
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.
Title: Re: Physical Therapy home visits (S9131) modifier
Post by: Merry on October 18, 2013, 03:34:10 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?
Title: Re: Physical Therapy home visits (S9131) modifier
Post by: FirstMedicalBilling on October 22, 2013, 11:48:31 AM
1. Amerigroup Medicaid HMO.
2.Yes
3.Yes
Title: Re: Physical Therapy home visits (S9131) modifier
Post by: Merry on October 22, 2013, 04:41:39 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