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Does anyone know a modifier  for Physical Therapy home visits (S9131)?

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FirstMedicalBilling

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Physical Therapy home visits (S9131) modifier
« 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.

Merry

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Re: Physical Therapy home visits (S9131) modifier
« Reply #1 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?

FirstMedicalBilling

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Re: Physical Therapy home visits (S9131) modifier
« Reply #2 on: October 22, 2013, 11:48:31 AM »
1. Amerigroup Medicaid HMO.
2.Yes
3.Yes

Merry

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Re: Physical Therapy home visits (S9131) modifier
« Reply #3 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