sdbrown1026
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When billing 92507 for SLP, I am unclear as to the amount of units to bill. The SLP wants to bill 4 units...have been unable to get a consistent answer on this... any help?
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Wiki multiple units for 92507??
- Thread starter sdbrown1026
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msrd_081002
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92507-GN is an untimed code (session/1 UNIT)
92507-GN is an Untimed code (Just 1 unit)
Untimed Codes (92507; 92506)
If the CPT descriptor has NO time designation, the procedure is billed as a session without regard to time. (Per CMS)
Referring to (timed) Physical Medicine Codes (15 Minute Codes)
CMS advises that physical medicine codes (97000 series) are "NOT" appropriate for SLP or dysphagia services, except for 97532 and 97533.
Just in case if you 're assigning ANY from 97532 or 97533 then (4 units 'd be : 53 minutes to < 68 minutes)
PS: CMS requires that the "GN" modifier be added to every code that is rendered under a SLP or dysphagia plan of tx.
Please access the Medicare CPT Coding Rules for SLP Services (Therapy Services) from CMS web site.
When billing 92507 for SLP, I am unclear as to the amount of units to bill. The SLP wants to bill 4 units...have been unable to get a consistent answer on this... any help?
92507-GN is an Untimed code (Just 1 unit)
Untimed Codes (92507; 92506)
If the CPT descriptor has NO time designation, the procedure is billed as a session without regard to time. (Per CMS)
Referring to (timed) Physical Medicine Codes (15 Minute Codes)
CMS advises that physical medicine codes (97000 series) are "NOT" appropriate for SLP or dysphagia services, except for 97532 and 97533.
Just in case if you 're assigning ANY from 97532 or 97533 then (4 units 'd be : 53 minutes to < 68 minutes)
PS: CMS requires that the "GN" modifier be added to every code that is rendered under a SLP or dysphagia plan of tx.
Please access the Medicare CPT Coding Rules for SLP Services (Therapy Services) from CMS web site.
Last edited:
AGSCodify9
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The individual frequency of 4 time(s) per 99 Day(s) for procedure code 92507 has been exceeded by 16. The following claim(s) and associated claim line(s) contributed to frequency: