Speech therapy

[Guest guest]

I'm trying to find an LCD on speech therapy, or at least get some

guidance on billing.

Can speech bill for an eval and for treatment at the same visit?

Can speech bill for two different treatments at the same visit? Such

as speech therapy treatment (92507) and cognitive treatment (97532).

This is for an outpatient hospital based clinic.

Any input is appreciated?

Thanks

Weideman, PT

Rehab Coordinator

Presbyterian Health Systems

Rio Rancho, NM

[Guest guest]

If the speech is billed under the medicare part B system, it must be billed

under a PT's NPI number with the GN modifier. You are able to bill for a

speech eval and treatment on the same day, however there are certain speech

treatment codes that can't be billed with some PT treatment codes on the

same day. I think you can use a modifier on those as well though. We just

started billing for speech therapy treatments and it has been working out

great. If you any other questions, please email me. Also, I think Medicare

is starting to accept enrollment applications for speech therapists.

-

Physical Therapy

Delray Beach, FL

From: PTManager [mailto:PTManager ] On Behalf

Of weidemanpt

Sent: Friday, December 12, 2008 12:46 PM

To: PTManager

Subject: Speech therapy

I'm trying to find an LCD on speech therapy, or at least get some

guidance on billing.

Can speech bill for an eval and for treatment at the same visit?

Can speech bill for two different treatments at the same visit? Such

as speech therapy treatment (92507) and cognitive treatment (97532).

This is for an outpatient hospital based clinic.

Any input is appreciated?

Thanks

Weideman, PT

Rehab Coordinator

Presbyterian Health Systems

Rio Rancho, NM

[Guest guest]

In New Mexico, your Medicare contractor is TrailBlazer

Health and they currently do not have a LCD for SLP or

Dysphagia treatment. Your question is really regarding

CCI edits. To answer your question, a SLP may bill

both 92506 and/or 92610 (Evaluation codes) and 92507

(treatment of speech) and/or 92526 (treatment of

swallowing dysfunction) on the same day and no

modifier-59 is required.

If billing 92507 and 97532 on the same day, you would

need to append modifier-59 to 97532 on the claim form

in order to ahve that code reimbursed on the same day

you are billing and being reimbursed for 92507.

Here is the link to the CCI edits on the CMS website.

You may need to copy and paste the link in your web

browser.

http://www.cms.hhs.gov/NationalCorrectCodInitEd/NCCIEHOPPS/itemdetail.asp?filter\

Type=none & filterByDID=-99 & sortByDID=2 & sortOrder=ascending & itemID=CMS046226 & intNu\

mPerPage=10

Rick Gawenda, PT

President

Section on Health Policy & Administration

APTA

--- weidemanpt wrote:

> I'm trying to find an LCD on speech therapy, or at

> least get some

> guidance on billing.

> Can speech bill for an eval and for treatment at the

> same visit?

> Can speech bill for two different treatments at the

> same visit? Such

> as speech therapy treatment (92507) and cognitive

> treatment (97532).

>

> This is for an outpatient hospital based clinic.

>

> Any input is appreciated?

>

> Thanks

>

> Weideman, PT

> Rehab Coordinator

> Presbyterian Health Systems

> Rio Rancho, NM

>

>