Author Topic: PT CA work comp billing question  (Read 310 times)

blnord

  • Newbie
  • *
  • Posts: 9
PT CA work comp billing question
« on: March 09, 2014, 12:58:58 PM »
Hi all, Just looking for any help on the changes that took place 1/1/14 with CA work comp for PT.   Specifically changes with codes 97250 and 97014.

Merry

  • Moderator
  • Sr. Member
  • *****
  • Posts: 326
Re: PT CA work comp billing question
« Reply #1 on: March 09, 2014, 01:01:07 PM »
Hoping Richard will see this. 

RichardP

  • Hero Member
  • *****
  • Posts: 552
Re: PT CA work comp billing question
« Reply #2 on: March 10, 2014, 01:50:22 AM »
We do not bill for any PT services, and do very little Workers Comp. billing.  I did find this, tho - although I don't know if any of it is relevant after the 1-1-14 code changes blnord referred to.

Another code, 97250 for myofascial release, is not part of the CPT codes anymore but is billable under the California workers compensation system and should be used in that scenario as 97140 is not used in that system.

From here:  (search document on 97250)
http://acu-insurance.com/clinical-aspects/cpt-codes/

And this:

Yes, you can bill electrical stimulation to one company as 97014 and G0283 to another company for the same procedure (electric stim).  The dual fee schedule only comes into play when you charge one amount for 97014 and a different amount for G0283. ...

G0283 is reimbursable under Medicare fee schedule.  97014 is not reimbursable under Medicare but it is reimbursable under worker's compensation fee schedule.


From here:
http://emergencymedicalcondition.blogspot.com/2013/02/new-pip-law-electric-stim-97014-or-g0283.html