Notification

Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services


Notification Issue Date: 08/01/2019



Policy Attachment


Attachment to Policy # 00.01.68


Attachment:A

Policy #:00.01.68

Description:Multiple Reduction Always Therapy Procedure Codes

Title:Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



MULTIPLE REDUCTION ALWAYS THERAPY PROCEDURE CODES

Code
92507
92508
92521
92522
92523
92524
92526
92597
92607
92608
92609
96125
97012
97016
97018
97022
97024
97026
97028
97032
97033
97034
97035
97036
97039
97110
97112
97113
97116
97124
97139
97140
97150
97161
97162
97163
97164
97165
97166
97167
97168
97530
97533
97535
97537
97542
97750
97755
97760
97761
97763
97799
G0281
G0283
G0329

Version Effective Date: 09/01/2019
Version Issued Date: 08/30/2019
Version Reissued Date: N/A

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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.