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Wiki 97129 and 97130

Thread starter maureendupuis
Start date Jan 22, 2024

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maureendupuis

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Jan 22, 2024

#1

We are having a discussion regarding the billing of 97129 and 97130. 97129 clearly states CPT code 97129 is used to bill for therapeutic interventions that focus on cognitive function and compensatory strategies to manage the performance of an activity1 2. This includes interventions that focus on attention, memory, reasoning, executive function, problem solving, and pragmatic function 1 2. The code is a timed code, direct (one-on-one) patient contact code, for an initial 15 minutes 2 3. It is a medical procedural code under the range - Physical Medicine and Rehabilitation Therapeutic Procedures 4. We are questioning the time - can you only bill 97129 for 15 minutes or if you are an organization following the AMA guidelines can you bill 8-22 minutes and then bill 97130 for any additional time?

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