Caralee Posted Thu 11th of April, 2013 22:32:23 PM
Physical Medicine and Rehab Dr. performed office visit and Manual therapy for 15 minutes (99213-25, 97140-59 ). Medicare denied the code 97140 due to procedure code is inconsistant with modifier or required modifier missing. Medicare needs GP. GO or GN modifier. Can provider bill GP modifier be used with 97140? Any suggestions!! Thanks.
SuperCoder Answered Fri 12th of April, 2013 15:00:31 PM
Modifiers are used to identify therapy services whether or not financial limitations are in effect. Providers/suppliers must continue to report one of these modifiers for any therapy code on the
list of applicable therapy codes
• GN Services delivered under an outpatient speech-language pathology plan of care;
• GO Services delivered under an outpatient occupational therapy plan of care; or,
• GP Services delivered under an outpatient physical therapy plan of care.