What is procedure code 90887?
Description: CPT code 90887 is used when the treatment of the patient may require explanations to the family, employers or other involved persons for their support in the therapy process. This may include reporting of examinations, procedures, and other accumulated data.
What does CPT code 97535 mean?
Self-care/home management training
97535 CPT Code Description: Self-care/home management training (e.g., activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes.
Is 99100 covered by Medicare?
Steve, First of all, 99100 is an anesthesia qualifying circumstance that can only be billed if the patient is over 70 and does NOT have Medicare as primary. Otherwise you cannot bill 99100 to Medicare products as they won’t pay for this.
Does CPT 99100 require a modifier?
Anesthesia Qualifying Circumstances (99100-99140) do not require prior authorization. You must report the appropriate qualifying circumstances code in addition to the anesthesia CPT code on the same claim. You must also report the applicable anesthesia modifier with the qualifying circumstance code.
Who can Bill 97535?
CPT Code 97535 – Usage & Reimbursement Services provided concurrently by physicians, optometrists, physical therapists, and occupational therapists may be covered if separate and distinct goals are documented in the treatment plans.
Is CPT code 97535 A timed code?
Version 27.0 Correct Coding Initiative (CCI) Edits
| CPT Code | Description | Timed? |
|---|---|---|
| 97530 | Therapeutic Activities | Y |
| 97533 | Sensory Integration | Y |
| 97535 | Self Care/Home Management Training | Y |
| 97537 | Community/Work Reintegration | Y |