Tuesday, November 25, 2014

CMS Updates the Part B Therapy Code List for 2015

Dan Ciolek

The Centers for Medicare and Medicaid Services (CMS) recently posted a MLN Matters article MM8985 – 2015 Annual Update to the Therapy Code List that updates the therapy code list for Calendar Year (CY) 2015 by adding two "Sometimes Therapy" codes, and deleting two current codes.

The update to the therapy code list reflects those made in the CY 2015 Healthcare Common Procedure Coding System and Current Procedural Terminology, Fourth Edition (HCPCS/CPT-4). Make sure your billing staff are aware of these changes.

Specifically, CR 8985 updates the code list by adding HCPCS Codes 97607 (Neg press wnd tx) and 97608 (Neg press wound tx >50 cm) to the "sometimes therapy" codes and deleting HCPCS Codes G0456 and G0457 from the 2015 therapy code list. Code 97608 replaces current code G0457 effective January 1, 2015 and 97607 replaces current code G0456 effective January 1, 2015. Per CMS policy, therapy codes must always be assigned a discipline-specific modifier (GP = physical therapy, GO = occupational therapy, and GN = speech-language pathology (SLP) services).

For questions please contact Dan Ciolek at deciolek@ahca.org


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