New "sometimes therapy" HCPCS code

There are two designations utilized for therapy services by Medicare. The services are known as “always therapy” and “sometimes therapy.” An “always therapy” service must be performed by a qualified therapist under a certified therapy plan of care, and a “sometimes therapy” service may be performed by an individual outside of a certified therapy plan of care. For calendar year (CY) 2014 update, the Centers for Medicare & Medicaid Services (CMS) replaced CPT code 0183T, Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a Medicare calendar year 2014 therapy-services update from CMS and the CPT Editorial Panel. It explains the distinction between general therapy service designations and notes a code replacement tied to the Medicare therapy-services reporting list. It is useful for coding professionals who track annual therapy code updates and CMS therapy classifications.

Why This Topic Matters

Annual Medicare therapy code updates affect how therapy services are reported and tracked in official lists. Professionals who work with therapy coding, CPT/HCPCS updates, or Medicare compliance may need this information to keep references current.

What You Will Learn

  • How the article frames Medicare therapy-service designations
  • What annual update context is provided for calendar year 2014
  • Which coding update is discussed in relation to the therapy-services reporting list
  • Where the article points readers for the broader therapy code listing

Who Should Read This

  • Medical coders
  • Coding auditors
  • Therapy billing staff
  • Compliance professionals
  • Revenue cycle staff

Codes Discussed

  • CPT: 0183T
  • CPT: 97610

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