Author Topic: therapy codes  (Read 1024 times)

mhooyer

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therapy codes
« on: February 25, 2014, 06:46:42 PM »
I am billing for a Pediatric clinic for PT, OT and ST.  Does anyone know what codes are timed codes and which ones are not, or is it based on what insurance they have.  I know for Medicaid they are all timed in 15 min. time frames and 30 mins for eval.  But for insurance I know at least speech therapy they are not time based for at least BCBS.  I am not sure about PT & ST.  Please help. Thanks.

Michele

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Re: therapy codes
« Reply #1 on: February 26, 2014, 09:07:11 AM »
If you read the description of the cpt code it usually indicates whether it is timed or not.  I don't believe any of the ST services are timed.  Most OT & PT are.
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StephD

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Re: therapy codes
« Reply #2 on: March 01, 2014, 12:20:20 PM »
ST is not normally billed in timed increments.  However, Texas Medicaid plans are an exception.  They are billed in 15 minute increments.  I am not sure about other states and their Medicaid billing requirements.