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We are running into a denial from our intermediary that states

that basically we cannot charge 97535 on the same day we charge

97530. Not an unsurmountable problem if the charges were assigned by

a single discipline, e.g., PT. Our problem comes into play when PT

sees a patient and charges for a modality linked in our Charge Master

to 97535, and OT sees the patient in a different session on the same

day and charges for a modality linked to 97530--or vice versa. What

do you do to capture the charges for each discipline? The prospect

of coordination of charges between disciplines on a single day--to

eliminate coding conflicts such as these--seems to be a bit daunting.

I am also discovering that Rehab seems to be the only department

(meaning PT, OT, and Speech) as opposed to Lab, Pharmacy,

Respiratory, etc., that has HCPCS codes that link to multiple

modalities within and between disciplines--primarily PT and OT. My

Director colleagues in other hospital departments say that their

HCPCS are modality specific: different for each and every modality or

charge. Is anyone else having this problem? Suggestions welcome.

S. Porter, M.A., CCC, CHE

Director, Rehabilitation Services

Northern Virginia Community Hospital

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