Medical Billing Forum

Billing => Billing => : CALI September 25, 2012, 04:59:09 PM

: Physical Therapy billing
: CALI September 25, 2012, 04:59:09 PM

Hello,
Can I bill an initial evaluation code, 97001, for a patient who had been seen & was discharged & then returned a few days later after having surgery.  Does it matter if the dx is different?
Thanks,
Doris

: Re: Physical Therapy billing
: Michele September 27, 2012, 12:11:27 PM

I believe most insurance carriers go by the time that has passed and the dx.  I believe the re-evaluation code of 97002 would be more appropriate for what you are describing.  (For the record I am Not a certified coder.)