AMA CPT® Assistant - 2014 Issue 3 (March)

Medicine: Physical Medicine and Rehabilitation [(Q&A)] (March 2014)

March 2014 page 15c Medicine: Physical Medicine and Rehabilitation Question: When reporting the Physical Medicine and Rehabilitation time-based codes (97110-97548), is it appropriate to report these services with modifier 52, Reduced Services, if less than 15 minutes was spent treating the patient, or when the treatment lasts less than eight minutes? When taking into consideration the following statement published in the August 2005 issue of CPT® Assistant, "For the purpose of determining the total time of a service, incremental intervals of treatment at the same visit may be accumulated," how would the following scenario be reported: At 8...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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