Coding > Coding

exceeding physical therapy cap

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jwoman9835:
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:
Are you referring to a specific carrier?  I'm only aware of Medicare's cap and that is $1740.00.

Michele

jwoman9835:
Yes, only Med B I'm referring too.
Jill

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