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modifier for 97001

SuperCoder Posted Wed 20th of August, 2014 15:55:38 PM

What modifier should be used for Medicare when billing the 97001?

SuperCoder Answered Thu 21st of August, 2014 08:30:23 AM

Thanks for your question. When billing 97001; Physical therapy evaluation the appropriate modifier to use is GP- Services delivered under an outpatient physical therapy plan of care. If you are billing 97001 with treatment codes, re-bill with a modifier 59- distinct procedural service. Hope this helps.

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