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March 2013

Changes to freestanding outpatient physical therapy billing delayed

BCBSM is delaying the changes in how freestanding OPTs should report physical therapy, occupational therapy and speech therapy services until Oct. 1, 2013.

Those changes were initially communicated in the November 2012 Record.  Until Oct. 1, 2013, freestanding OPTs should report PT, OT and ST services as follows:

  • Revenue codes 0421, 0424, 0431, 0434, 0441 and 0444 and appropriate HCPCS codes should be reported.
  • Revenue codes 0420, 0430 and 0440 should continue to be used to report therapy specific visits.

Value code 80 should still be reported and series billing rules will also apply.

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