Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (professional)
- Modifier Rules (professional)
- Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (professional)
For clarification, these modifier updates align with the codes the Centers for Medicare & Medicaid Services (CMS) has designated as “always therapy” services, and require GN, GO, or GP modifiers for physical therapy, occupational therapy, or speech-language pathology services when billed on a professional claim.
November 2021 Anthem Provider News - Nevada