Guest guest Posted April 5, 2010 Report Share Posted April 5, 2010 Dear Group: We have a patient approaching the CAP who happens to have spinal stenosis, 724.02. This DX is on the " Exempt " list for the therapy cap. However, this DX is not allowable by Medicare for Ther EX & Manual therapies. We are following him for balance and coordination problems so we can use the appropriate approved codes. Does anyone have experience with a patient who has met their cap, has an approved " exempt " code yet you are billing with an " approved " payment code for TherEX & Manual that is not on the " exempt " list for your diagnosis " pointer " per CPT? Hope I was capable of communicating my point. I would sure appreciate your input. Options Through Movement Physical Therapy, LLC Eugene, Oregon Quote Link to comment Share on other sites More sharing options...
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