Q&A Modifier 59 changes in regards to physical/occupational therapy

[Aja T.]

Hello,
I bill for a large orthopaedic practice that has our own Physical Therapy department. Can you go over how the upcoming changes to modifier 59 will affect billing for PT/OT evaluations, reevaluations, and exercises?

 

[Laureen]

Hi Aja,

I think they will be affected as other specialties - only for their Medicare patients though until when/if other payers jump on the band wagon.

Here is a related forum post on the new XE, XS, XP and XU modifiers that are to be used instead of modifier 59 for Medicare patients https://www.cco.us/forum/threads/modifier-59-xe-xs-xp-and-xu.2517/

JoAnne Sheehan covered this on our webinar this past Thursday if you missed it join the replay club and you'll get access to the recording and much much more!

CCO Club - http://cco.pe/1k0yNIf