Guest guest Posted December 30, 2008 Report Share Posted December 30, 2008 Hi, May - Medicare billing is about how much time the patient receives rehab services. If a patient was treated by an OT for 15 minutes, it's one unit of CPT 97112. If they are seen by a PT and an OT for 15 minutes, it's *still* one unit of CPT 97112 that the patient received. However... if the patient received 15 minutes of CPT 97112 Neuromuscular Re-education by one professional, and then an appointment with another professional for another 15 minutes, and documents that these are two separate and distinct services, then the providing organization MAY get reimbursed for both of the appointments. I am aware that some therapists may find it desirable to see patients together, and " co-treat " but it doesn't get paid that way. The employer would have to " eat " the cost of the second professional. Hope that helps! Dr. Dick Hillyer W. Hillyer, PT,DPT,MBA,MSM Cape Coral, FL 33914 _____ From: PTManager [mailto:PTManager ] On Behalf Of may Sent: Tuesday, December 30, 2008 7:11 PM To: PTManager Subject: CPT codes Hello! I just want to find an answer about the use of CPT codes. Is there going to be a problem in the billing if the physical therapy discipline uses the same CPT code at the same time with occupational therapy discipline? Or is it going to be okay if for instance on Nov,PT uses 97112 the same time with OT. Thank you, in advance to all! Happy New Year everyone! MAY Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2009 Report Share Posted January 5, 2009 Hi Dick! Thank you for your response. It is a big help. I appreciate it. Have a nice day! MAY Subject: RE: CPT codes To: PTManager Date: Tuesday, December 30, 2008, 6:42 PM Hi, May - Medicare billing is about how much time the patient receives rehab services. If a patient was treated by an OT for 15 minutes, it's one unit of CPT 97112. If they are seen by a PT and an OT for 15 minutes, it's *still* one unit of CPT 97112 that the patient received. However... if the patient received 15 minutes of CPT 97112 Neuromuscular Re-education by one professional, and then an appointment with another professional for another 15 minutes, and documents that these are two separate and distinct services, then the providing organization MAY get reimbursed for both of the appointments. I am aware that some therapists may find it desirable to see patients together, and " co-treat " but it doesn't get paid that way. The employer would have to " eat " the cost of the second professional. Hope that helps! Dr. Dick Hillyer W. Hillyer, PT,DPT,MBA,MSM Cape Coral, FL 33914 _____ From: PTManager@yahoogrou ps.com [mailto:PTManager@yahoogrou ps.com] On Behalf Of may Sent: Tuesday, December 30, 2008 7:11 PM To: PTManager@yahoogrou ps.com Subject: CPT codes Hello! I just want to find an answer about the use of CPT codes. Is there going to be a problem in the billing if the physical therapy discipline uses the same CPT code at the same time with occupational therapy discipline? Or is it going to be okay if for instance on Nov,PT uses 97112 the same time with OT. Thank you, in advance to all! Happy New Year everyone! MAY Quote Link to comment Share on other sites More sharing options...
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