Guest guest Posted November 19, 2009 Report Share Posted November 19, 2009 We recently had a situation come up in which a Medicare patient was billed for a PT Eval 97001 and an OT Orthotic Check 97762 on the same day. Modifier 59 was attached to 97762 to support the 2 separate disciplines, goals and time of day. Our Billing Dept has indicated that due to the CCI Edits we must remove the modifier and drop the 97762 charge because it can not be billed with 97001. In the CCI Edits grid 97762 is listed in Column 1 and 97001 is listed in column 2 along with a " 0 " to indicate that a modifier is not allowed. Am I reading this correctly, are we not allowed to bill these 2 codes on the same day even though they involved 2 different disciplines and 2 different body parts? Any help would be appreciated. Denny PT FAAOMPT Henry Ford Macomb Hospital Clinton Twp, Mi ============================================================================== Quote Link to comment Share on other sites More sharing options...
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