Authoritative links to tools, guidelines and rules regarding physical therapy, occupational therapy, billing & coding and documentation guidelines.
Some information from APTA on billing and coding; some of the information is for those who are members only.
Blue Cross, Blue Shield of MA payment policy with well written coding and billing guidelines. Makes a great guide for PT/OT.
Quick Reference Chart from CMS, MedLearn Matterrs: Descriptors of G-codes and Modifiers for Therapy Functional Reporting
Get CMS’s Latest Updates for 2019 for “-KX” modifier and Functional Reporting Codes.
Novitas Medicare for DC, DE, MD, NJ and PA – Modifier KX for PT/speech & occupational therapy.
Brief 10-slide presentation from the VA that gives an insight into PT documentation.
WPS GHA Medicare explains how to count units and on which codes – for Jurisdictions: J8A, J5A, J8B, J5B
Outpatient Therapy Modifiers page from WPS GHA Medicare for Jurisdictions: J8B, J5B
Severity & Complexity Modifiers explained from WPS GHA Medicare, Jurisdiction J8B, J5B; great guide.
Do you have other authoritative references that you rely on? Please send them to us to share! Thanks!
We are constantly working to find more resources, guidelines and tools to share. They’ll be here soon!
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