Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (Professional)

In the January edition of Provider News, we announced updates to the following reimbursement policies:

• 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.

 

1401-1121-PN-NY