Win: CMS Will Lift Several Code Pairing Restrictions

The change, pushed for by APTA, will allow PTs to use many commonly paired codes for services delivered in the same day.

After an on-again, off-again approach to rules affecting the billing of code pairs that represent common, appropriate physical therapy practice, the U.S. Centers for Medicare & Medicaid Services has announced it will accept many of the pairs it had barred for use, or required to be accompanied a modifier if they were used on the same day. The changes, pressed for by APTA, are expected to reduce use of code modifiers that were creating confusion and sparking claim denials.

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