Guest guest Posted June 15, 2011 Report Share Posted June 15, 2011 Hello, I am looking for a current list of the diagnosis that are allowed by Medicare for reimbursement exception beyond the capped dollar amount. I found this statement on page 10 of the Medicare Claims Processing Manual Chapter 5 - Part B Outpatient Rehabilitation and CORF/OPT Services. “The beneficiary may qualify for use of the cap exceptions at any time during the episode when documented medically necessary services exceed caps. All covered and medically necessary services qualify for exceptions to caps.†Is there a current list, and does anyone have a link to access it? Or are all treatment diagnosis available to use with the KX modifier on for reimbursement after capped dollars are exceeded? Thank you for your assistance. D. , PT BodyWise Therapy, PC 2504 South 119th Street Omaha, NE 68144-2947 Phone # Fax # @... www.bodywiseomaha.com www.facebook.com/BodyWiseTherapyOmaha Quote Link to comment Share on other sites More sharing options...
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