Re: Biofeedback codes for pelvic health

[Guest guest]

I have a clinic that bills 90911 to Medicare with no problems as a PTPP. It

does have CCI edits attached to is so almost any other treatment performed

that day needs to documented and coded with the -59 modifier as separate and

distinct.

Medicaid does not reimburse for this code.

Ruesewald

Therapy Billing

603 W 6th Ave, Ste 305, Corsicana, TX 75110

fax

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From: PTManager [mailto:PTManager ] On Behalf

Of Freeman, Meryl

Sent: Monday, November 28, 2011 9:30 AM

To: 'PTManager '

Subject: Biofeedback codes for pelvic health

Hi Group-

We are starting up a pelvic health program and I was wondering folk's

experience with the 90911 CPT code for biofeedback? Is it getting reimbursed

when a PT bills it? I only have experience with 90901.

Thanks for your help.

Meryl W. Freeman, MS PT

Manager, Rex Hospital Outpatient Rehab

(office)

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[Guest guest]

I have a clinic that bills 90911 to Medicare with no problems as a PTPP. It

does have CCI edits attached to is so almost any other treatment performed

that day needs to documented and coded with the -59 modifier as separate and

distinct.

Medicaid does not reimburse for this code.

Ruesewald

Therapy Billing

603 W 6th Ave, Ste 305, Corsicana, TX 75110

fax

The documents accompanying this email transmission contain confidential

information that is legally protected and privileged. The information is

intended for the use of the recipient named above. If you have received

this email in error, please notify us immediately by telephone

() to arrange for return of the document to us. You are hereby

notified that any disclosure, copying, distribution, or the taking of any

action in reliance on the contents of this transmission is strictly

prohibited.

From: PTManager [mailto:PTManager ] On Behalf

Of Freeman, Meryl

Sent: Monday, November 28, 2011 9:30 AM

To: 'PTManager '

Subject: Biofeedback codes for pelvic health

Hi Group-

We are starting up a pelvic health program and I was wondering folk's

experience with the 90911 CPT code for biofeedback? Is it getting reimbursed

when a PT bills it? I only have experience with 90901.

Thanks for your help.

Meryl W. Freeman, MS PT

Manager, Rex Hospital Outpatient Rehab

(office)

----- Confidentiality Notice -----

This e-mail and any attached documents contain confidential information

belonging to the sending entity, Rex Healthcare, and is intended only for

the

use of the individual(s) or entity(s) associated with the recipient

addresses

listed in the message header. The authorized recipient of this information

is

prohibited from disclosing this information to any other party. If you are

not

the intended recipient, you are hereby notified that any disclosure,

copying,

distribution or action taken in reliance on the contents of the email and/or

attachments is strictly prohibited. If you received this e-mail transmission

in

error, please notify the sender immediately to arrange for return or

destruction of this information.

To report abuse or inappropriate use, please email abuse@...

<mailto:abuse%40rexhealth.com> .(

[Guest guest]

Yes, it is getting reimbursed by most insurances. Occasionally, we have

difficulties with specific plans for Anthem and Medical Mutual.

Binkley

CPW Rehab

Administrator

3130 Central Park West Dr., Ste. A

Toledo, Ohio 43617

P: /F:

E-mail: cbinkley@...

www.cpwrehab.com

" The future will depend on what we do in the present. "

~ Mahatma Ghandi

[Guest guest]

Yes, it is getting reimbursed by most insurances. Occasionally, we have

difficulties with specific plans for Anthem and Medical Mutual.

Binkley

CPW Rehab

Administrator

3130 Central Park West Dr., Ste. A

Toledo, Ohio 43617

P: /F:

E-mail: cbinkley@...

www.cpwrehab.com

" The future will depend on what we do in the present. "

~ Mahatma Ghandi

[Guest guest]

Hi Meryl,

I have been billing 90911 for years. In my experience, the Blues do not cover

it. Aetna covers it in general but some plans do not, so i always recommend

verifying patient benefits for that specific code and dx. Medicare covers it

but there is an LCD, so you will want to review which dx are covered.

Cheri Freeman, CMRS

Manager Account Services

Healthcare Reimbursement Services

Austin, Tx

>

> Hi Group-

> We are starting up a pelvic health program and I was wondering folk's

experience with the 90911 CPT code for biofeedback? Is it getting reimbursed

when a PT bills it? I only have experience with 90901.

>

> Thanks for your help.

>

>

>

> Meryl W. Freeman, MS PT

> Manager, Rex Hospital Outpatient Rehab

> (office)

>

>

>

>

> ----- Confidentiality Notice -----

> This e-mail and any attached documents contain confidential information

> belonging to the sending entity, Rex Healthcare, and is intended only for the

> use of the individual(s) or entity(s) associated with the recipient addresses

> listed in the message header. The authorized recipient of this information is

> prohibited from disclosing this information to any other party. If you are

not

> the intended recipient, you are hereby notified that any disclosure, copying,

> distribution or action taken in reliance on the contents of the email and/or

> attachments is strictly prohibited. If you received this e-mail transmission

in

> error, please notify the sender immediately to arrange for return or

> destruction of this information.

>

> To report abuse or inappropriate use, please email abuse@...(

>

>

>

>