Physical therapy billing mysteries never cease—which is why we’ve gathered and answered the most-asked questions from our live Q&A here.
Below is a table with all of the common CCI edit pairs related to different therapy types, courtesy of PT compliance expert Rick Gawenda, owner ofGawenda Seminars & Consulting. Here’s how to use the chart: Look for the primary CPT code you are billing in Column 1. ...
Can you clarify billing “always therapy” and “sometimes therapy” codes—particularly when those services are provided by therapy practitioners versus non-therapy practitioners? According tothis CMS resource, all outpatient therapy (OPT) services furnished by therapists in private practice are “always...