Medical Billing Forum
Coding => Coding => : mhooyer February 25, 2014, 09:46:42 PM
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I am billing for a Pediatric clinic for PT, OT and ST. Does anyone know what codes are timed codes and which ones are not, or is it based on what insurance they have. I know for Medicaid they are all timed in 15 min. time frames and 30 mins for eval. But for insurance I know at least speech therapy they are not time based for at least BCBS. I am not sure about PT & ST. Please help. Thanks.
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If you read the description of the cpt code it usually indicates whether it is timed or not. I don't believe any of the ST services are timed. Most OT & PT are.
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ST is not normally billed in timed increments. However, Texas Medicaid plans are an exception. They are billed in 15 minute increments. I am not sure about other states and their Medicaid billing requirements.