Author Topic: exceeding physical therapy cap  (Read 1137 times)

jwoman9835

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exceeding physical therapy cap
« 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

Michele

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Re: exceeding physical therapy cap
« Reply #1 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
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jwoman9835

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Re: exceeding physical therapy cap
« Reply #2 on: August 29, 2009, 12:57:39 PM »
Yes, only Med B I'm referring too.
Jill