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  1. P

    Wiki Humana Denials

    Just off the top of my head...if this is a Medicare Replacement, then PT codes may not be covered per MC guidelines. MC only pays for 98940-98942 with mod AT. All other codes will deny.
  2. P

    Wiki Humana Denials

    The NCCI says: Medicare covers chiropractic manipulative treatment (CMT) of five spinal regions. Physical medicine and rehabilitation services described by CPT codes 97112, 97124 and 97140 are not separately reportable when performed in a spinal region undergoing CMT. If these physical medicine...
  3. P

    Wiki Modifiers

    Now that PT codes require a 'GP' modifier, must we use -59 modifier on any codes?
  4. P

    Wiki Humana Denials

    All PT codes now need modifier GP attached.
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