Outpatient Rehabilitation Modifiers

by  Jared Staheli
January 9th, 2018

Modifiers are used for outpatient rehabilitation services to identify the type of service performed. This is necessary for payers to determine service coverage for beneficiaries.

For services delivered under an outpatient plan of care use modifier:

In addition to using the correct modifier, the provider must still be qualified to deliver the service. For example, adding modifier GP to a service performed by a non-qualified practitioner will not make the service payable.

These modifiers need to be used for any applicable physical therapy, occupational therapy, or speech-language pathology services. However, there are some codes that should not be billed with therapy modifiers, which include:

See the Medicare Claims Processing Manual, Chapter 5 - Part B Outpatient Rehabilitation and CORF/OPT Services, Section 20

Outpatient Rehabilitation Modifiers. (2018, January 9). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/outpatient-rehabilitation-modifiers-32683.html

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)


Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


contact

innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Email:
free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.