Coding > Coding

Changes for 97530?

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StephD:
Does anyone know if this code is no longer valid for use by an occupational therapist?  I have billed this code frequently for OT and now I am getting denials for the provider not being eligible to bill for that service.

Michele:
I have not heard that the 97530 is not valid for OT.  I would contact the customer service department and ask why it is not being allowed.  Is it possible you are just missing a modifier?  I have seen that it is not allowed separately from other physical medicine codes without the 59 modifier.

Michele

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