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CPT Knowledgebase - Feb 26, 2014
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 am, the therapist provides seven minutes of treatment described by code 97110; at 8:15 am, the therapist provides 23 minutes of treatment described by code 97112; and at 8:45 am, another eight minutes of treatment described by code 97110 was provided?
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