- Outpatient Occupational and Physical Therapy Services Billing Guide
- Introduction to Outpatient OT and PT Services
- Outpatient Occupational and Physical Therapy Coverage
- Caregiver Training Services
- KX Modifier Threshold
- 2024 Annual Update to the Therapy Code List: Remote Therapeutic Monitoring
- Annual Update to the Therapy Code List
- Targeted Medical Review
- Functional Reporting - Using the G Codes
- What is the Advance Beneficiary Notice of Noncoverage and When to Use It in Outpatient Therapy
- Maintenance Programs
- Multiple Procedure Payment Reduction
- The National Correct Coding Initiative
- Comprehensive Error Rate Testing Program
- Recovery Auditor
- Common Billing Errors and Remittance Message
- Medical Review Therapy Documentation Checklist for Additional Development Request Letters
- Common Questions and Answers
- Related Content
- Related Articles
Annual Update to the Therapy Code List
Annual CRs update the list of codes that are described as “sometimes” or “always” therapy services. This will include additions, changes and deletions to the therapy code list. The current and previous therapy code listings can be found on CMS’ Therapy Services web page.
CPT codes designated as “sometimes therapy” permits physicians and certain NPPs, including nurse practitioners, physician assistants, and clinical nurse specialists, to furnish these services outside a therapy plan of care when appropriate. When furnished by therapists, these "sometimes therapy" services are “always therapy,” which means they must be accompanied by the appropriate therapy modifier, GP, GO or GN, to reflect that it is under a physical therapy, occupational therapy, or speech-language pathology plan of care, respectively.
Related Content
- Change Request 13371: 2024 Annual Update of Per-Beneficiary Threshold Amounts
- Annual Therapy Update
- Change Request 12923: 2023 Annual Update of Per-Beneficiary Threshold Amounts
Revised 1/25/2024