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Coding for Interpreter?

Teresa Posted Mon 24th of November, 2014 17:17:42 PM

Can you please tell me when it is appropriated to use T1013 for when a patient comes in with an interpreter. Also what kind of documentation is required?
Thank you

SuperCoder Answered Tue 25th of November, 2014 09:09:21 AM

Medicare and most other payers do not separately reimburse interpretive services.

Physicians are required to comply with-the 1964 Civil Rights Act, as amended; Section 504 of the Rehabilitation Act of 1973; the Age Discrimination Act of 1975; the Omnibus Reconciliation Act of 1981; the Americans with Disabili-ties Act of 1990; and all other applicable federal and state laws that prohibit discrimination in the delivery of services on the basis of race, color, national origin, age, sex, han-dicap/disability, or religious beliefs.

So Medicare and private payers usually consider interpretive services "incidental" to the rendered service, such as an office visit (99201-99215). Code T1013 (Sign language or oral interpreter services, per 15 minutes) is not valid for Medicare.

Also, some payers may consider coverage for the extra time associated with treating a patient who requires interpreter services. Check with your payer to see if this might be a coding option.


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