Estim charge coding

[Guest guest]

Group:

I understand when performing e-stim for pain control or edema you would

charge G0283. I also understand that no matter how long or how many areas

are treated it is still one unit. My question is two fold.

First if performing Russian for strengthening/ neuro reed followed by IFC

with CP for pain/edema control, could you charge 97032 for the first then

G0283 for the second. This would be most relevant under part B/ OP billing.

Secondly under the Part A payor would all of the minutes be considered 1:1

treatment or in the case of the G0283 would only the setup/assessment time

actually be considered 1:1 and the rest of the code go under the clinic time

minutes? Furthermore, if it would be considered clinic time, is it

considered concurrent treatment if while the patient is on IFC you begin

therex with the next patient?

Thank you in advance for your assistance.

Pamela J. Harbert, LPTA

Director of Therapy Services (IP & OP)

Henry County Health and Rehabilitation

Abbeville, Al

[Guest guest]

I'm interested in Pam's thoughtful and poignant question. I also understand the

query received here after her question re POPTS is a more politically charged

topic and as a result has garnered considerable responses. I'd like to redirect

and ask if anyone has some conviction or thoughts in answering her question(s)

which are germane to the CMS changes post October 1st, 2010 in skilled nursing

facilities.

Much appreciated

Bob Tripicchio PT, D.Sc.

President

Community Physical Therapy and Associates. Ltd.

Estim charge coding

Group:

I understand when performing e-stim for pain control or edema you would

charge G0283. I also understand that no matter how long or how many areas

are treated it is still one unit. My question is two fold.

First if performing Russian for strengthening/ neuro reed followed by IFC

with CP for pain/edema control, could you charge 97032 for the first then

G0283 for the second. This would be most relevant under part B/ OP billing.

Secondly under the Part A payor would all of the minutes be considered 1:1

treatment or in the case of the G0283 would only the setup/assessment time

actually be considered 1:1 and the rest of the code go under the clinic time

minutes? Furthermore, if it would be considered clinic time, is it

considered concurrent treatment if while the patient is on IFC you begin

therex with the next patient?

Thank you in advance for your assistance.

Pamela J. Harbert, LPTA

Director of Therapy Services (IP & OP)

Henry County Health and Rehabilitation

Abbeville, Al