code 97545 work hardening/conditioning

[Guest guest]

Hi Everyone,

We are treating patients under workers comp that need work re conditioning. We

were billing the ins co code 97545 with 8 units. ( 15 min per unit for 2 hours)

Some of the w/c insurance are denying the claims stating that we exceeded the

amount of time for this code. I looked in the cpt book and it states  code

97545  "   work hardening/conditioning initial  2 hours " .

Any additional time after the 2 hours we bill code  97546. It does not state the

amount of units.

We are looking for the proper way to bill the insurance co. so that we will not

be denied in the future billing.

Thanks

JCPT

__________________________________________________

[Guest guest]

97545 is one unit and that represents 2 hours. You might be having problems if

you are billing for 8 units in that would be 16 hours. (2 hours each unit).

code 97545 work hardening/conditioning

Hi Everyone,

We are treating patients under workers comp that need work re conditioning. We

were billing the ins co code 97545 with 8 units. ( 15 min per unit for 2 hours)

Some of the w/c insurance are denying the claims stating that we exceeded the

amount of time for this code. I looked in the cpt book and it states? code

97545? " ? work hardening/conditioning initial? 2 hours " .

Any additional time after the 2 hours we bill code? 97546. It does not state the

amount of units.

We are looking for the proper way to bill the insurance co. so that we will not

be denied in the future billing.

Thanks

JCPT

__________________________________________________

[Guest guest]

The first two hours are billed as one unit under the 97545 code.

Any additional hours are billed under the 97546 code - one unit for each

additional hour.

Don't forget your WC modifier and don't cry at the low reimbursement!

Ruesewald

Therapy Billing

PO Box 880 , Lake Dallas , TX 75065

fax

From: PTManager [mailto:PTManager ] On Behalf

Of

Sent: Friday, October 17, 2008 8:37 AM

To: PTManager

Subject: code 97545 work hardening/conditioning

Hi Everyone,

We are treating patients under workers comp that need work re conditioning.

We were billing the ins co code 97545 with 8 units. ( 15 min per unit for 2

hours) Some of the w/c insurance are denying the claims stating that we

exceeded the amount of time for this code. I looked in the cpt book and it

states code 97545 " work hardening/conditioning initial 2 hours " .

Any additional time after the 2 hours we bill code 97546. It does not state

the amount of units.

We are looking for the proper way to bill the insurance co. so that we will

not be denied in the future billing.

Thanks

JCPT

__________________________________________________

[Guest guest]

97546 is for each additional hour of work hardening/conditioning.

 

McBride, PTA, BS

Michigan

code 97545 work hardening/conditioning

Hi Everyone,

We are treating patients under workers comp that need work re conditioning. We

were billing the ins co code 97545 with 8 units. ( 15 min per unit for 2 hours)

Some of the w/c insurance are denying the claims stating that we exceeded the

amount of time for this code. I looked in the cpt book and it states  code

97545  "   work hardening/condition ing initial  2 hours " .

Any additional time after the 2 hours we bill code  97546. It does not state the

amount of units.

We are looking for the proper way to bill the insurance co. so that we will not

be denied in the future billing.

Thanks

JCPT

____________ _________ _________ _________ _________ __

[Guest guest]

I think 97545 would be one unit for the entire 2 hours and each additional hour

would be 97456.

To: PTManager@...: driveramedical@...: Fri, 17 Oct

2008 06:37:16 -0700Subject: code 97545 work hardening/conditioning

Hi Everyone,We are treating patients under workers comp that need work re

conditioning. We were billing the ins co code 97545 with 8 units. ( 15 min per

unit for 2 hours) Some of the w/c insurance are denying the claims stating that

we exceeded the amount of time for this code. I looked in the cpt book and it

states code 97545 " work hardening/conditioning initial 2 hours " .Any

additional time after the 2 hours we bill code 97546. It does not state the

amount of units.We are looking for the proper way to bill the insurance co. so

that we will not be denied in the future billing. Thanks

JCPT__________________________________________________