Chiropractors and Physical Therapists Billing Medicare for Therapy Services
If a chiropractor or a physical therapist submits an “always therapy” code, they MUST submit the appropriate physical therapy modifier (GN, GO, GP) with the code.
If the modifier is not appended, the service will return/reject for not containing a valid modifier and the patient’s secondary insurance will not consider payment on a returned/reject claim. This causes undue burden on you and your patients.
Claims containing any of the “ always therapy” codes must have one of the therapy modifiers appended (GN, GO, GP) in order to process claims correctly and for the secondary insurance to consider coverage.
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Posted 1/13/2021