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February 2013

Centers for Medicare & Medicaid Services announce 2013 therapy caps

The Centers for Medicare & Medicaid Services released updated information on change request 8129 for its outpatient therapy caps for 2013. The 2013 therapy cap is $1,900 for physical therapy and speech-language therapy combined. The occupational therapy cap is also $1,900.

For more information, visit the CMS website to download the MLN Matters®* (PDF) overview of the 2013 therapy caps or the related CMS Manual System alert* (PDF). You can also contact your provider consultant.

*BCBSM does not control this website or endorse its general content

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
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