age restriciton on code 97113



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age restriciton on code 97113

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Billing and Coding Guidelines Article Title Outpatient – CMS

downloads.cms.gov

Dec 1, 2009 … List the appropriate procedure code for the service performed, include any …. (
ICD-9 codes), by patient factors such as age, severity, acuity, …

INSURANCE DEPARTMENT OF BANKING AND INSURANCE …

www.nj.gov

Mar 12, 2003 … assume that simply adding the -22 modifier to a CPT code entitles him or her to
the … believes that physical medicine codes 97112, 97113, 97116, 97530 and
97542 describe ….. which creatively attempt to circumvent the restrictions on …..
of treatment such as diagnosis, severity of injury, or patient's age.

billing resource manual – Georgia Department of Public Health

dph.georgia.gov

and the admin code for patients 19-20 years (The EP Modifier must be used). …
CPT Code Modifier ICD-9 DX. Rate. 2014 RVU Age Restriction. Vaccine …

TABLE OF CONTENTS – SCDHHS.gov

www.scdhhs.gov

Feb 1, 2017 … submitted using the correct procedure code for the service rendered. … 97113-
GO). AUDIOLOGICAL SERVICES. Procedure. Code. Procedure Code … cochlear
implant, age 7 years or older; with … participation restrictions; A.

Physician – Mass.Gov

www.mass.gov

Nov 9, 2016 … Section 602 lists CPT codes that are not payable under MassHealth. •. Section
603 …. Covered for members birth to age 21: This code is payable ….. 97113. PA
for PT >20. 97116. PA for PT >20. 97124. PA for PT >20. 97139.

Physical, Occupational & Speech Therapy Coverage Guidelines

dvha.vermont.gov

Jan 5, 2017 … addition to any therapy-specific diagnostic codes. Codes that are …. For Medicaid
reimbursement, there is no homebound restriction, nor is a three-day prior
hospitalization required. Non-Home Health Pediatric Coverage (Under Age 21):
…. 97113. 97116. 97124***. 97139. 97140. 97150. 97161. 97162.

South Dakota Medicaid – South Dakota Department of Education

test.doe.sd.gov

It is very important that you check for restrictions. ….. This code is used to report
evaluation of speech production, receptive language, and … 97113. Therapeutic
procedure to effect change through the application of clinical skills and/or ….
children with disabilities, birth through 21 years of age and meets the
requirements of …

Physician/Independent Lab/CRNA – Arkansas Secretary of State

www.sos.arkansas.gov

individuals aged 21 or older with diagnosis codes 140.0 – 208.91 or 042.
Procedure … J1562 has been added as payable for all ages without diagnosis
restriction. ….. 97113. 97116. 97124. 97139. 97140. 97530. 97532. 97535. 97537
. 97542.

Comparing Medicare Physician Payments to Private Payers (OEI-06 …

oig.hhs.gov

improve CMS' ability to identify those codes most in need of review. …. population
including only seniors over age 65 and individuals meeting certain disability.

ODM Hospital Billing Guidelines – Ohio Department of Medicaid

medicaid.ohio.gov

Oct 1, 2015 … ODM Hospital Billing Guidelines are based on rules of the Ohio Administrative
Code (OAC). Effective July 1, 2015, ODM is no longer publishing …