Stark_Physcian Self-Referral / Specific Procedural Codes Prohibited by Stark / Physcial-Occupational-Speech Therapy Services Prohibited by Stark

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

Article Overview

This premium article explains how Stark Law applies to physical, occupational, and speech therapy services and why certain CMS-listed procedure codes are relevant to physician self-referral restrictions. It is aimed at coding professionals, compliance staff, and healthcare administrators who need to understand the scope of the CMS reference list, the effective date of the cited update, and the policy context surrounding these designated health services.

Why This Topic Matters

Understanding which therapy-related services fall within Stark’s designated health service framework helps compliance and coding teams recognize when physician referral restrictions may apply. The article matters because it ties a CMS reference list to a specific policy update and a defined service category.

Article Sections

  1. Stark self-referral framework and CMS reference list

    Introduces the Stark Law context for therapy-related designated health services and describes the CMS reference list used to identify the affected procedure codes. It also notes the cited effective date and update source.

  2. Prohibited therapy-related procedural codes effective January 1, 2008

    Presents the therapy-related code list referenced by the article in the source order shown. The section is a code inventory tied to the CMS update discussed in the article.

What You Will Learn

  • How the article frames therapy services within Stark Law designated health services
  • What CMS reference list is used to identify the relevant procedure codes
  • The policy update timeframe associated with the cited code list
  • Which general therapy-related service categories are covered by the article

Who Should Read This

  • Medical coders
  • Compliance officers
  • Healthcare administrators
  • Revenue integrity staff
  • Physician practice managers

Codes Discussed


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