Medical Billing Forum
Medical Billing Forum - Get all of your billing & coding questions answered here!
Welcome,
Guest
. Please
login
or
register
.
Did you miss your
activation email
?
1 Hour
1 Day
1 Week
1 Month
Forever
Login with username, password and session length
News:
How to Complete CMS 1500 Forms
- Quickly & Easily Learn How To Fill Out CMS 1500 Forms Step by Step ...With No More Guess Work![/size]
Home
Help
Search
Login
Register
Medical Billing Forum
»
Billing
»
Billing
(Moderators:
Alice Scott
,
Michele
) »
CPT 97535
« previous
next »
Print
Pages: [
1
]
Author
Topic: CPT 97535 (Read 9207 times)
QueenAlicia
Sr. Member
Posts: 347
CPT 97535
«
on:
May 28, 2013, 06:38:05 PM »
Has anyone billed this before? Is it a -59 mod or a GO mod or none at all? Trying to clear up some confusion.
Thanks
Logged
RichardP
Hero Member
Posts: 757
Re: CPT 97535
«
Reply #1 on:
May 28, 2013, 09:53:10 PM »
Go to the front page of this site and search on 97535 (link provided here). You will get several conversations.
http://www.medicalbillinglive.com/members/index.php
Plus, there is this - answer to the first question asked at the link given below:
Self care/home management (CPT code 97535) is considered a component of the more comprehensive code, therapeutic activities (CPT code 97530). Both interventions may be provided to the Medicare beneficiary on the same date of service, be billed to your Medicare contractor, and be reimbursed by your Medicare contractor. However, to be reimbursed for CPT code 97535, you would have to append modifier-59 to CPT code 97535 on the claim form. In addition, documentation would have to support the medical necessity of both interventions and that the interventions were provided at separate and distinct times of each other.
from here:
https://sites.google.com/site/therapyandrehabservices/rehab-questions
If none of this gives you what you are looking for, you might come back with more specifics about the situation that is calling for 97535.
Logged
Medical Billing Forum
Re: CPT 97535
«
Reply #1 on:
May 28, 2013, 09:53:10 PM »
Print
Pages: [
1
]
« previous
next »
Medical Billing Forum
»
Billing
»
Billing
(Moderators:
Alice Scott
,
Michele
) »
CPT 97535