coding4fun
Guru
Need help with following scenerio: PT sees pt today for EVAL (97001) as patient is s/p TKR. PT performs eval and documents appropriately. PT also performed therex (97110) during PT session. Typically I would bill 97001 (untimed procedure) + 97110 (1 unit). We were advised today that we could no longer bill for therex performed during the same time that the EVAL is performed as the insurance carriers will not pay. I have researched on website and it appears that these codes are billable together. Would appreciate whatever info you guys could offer. I have always been told bill for what you do and document it properly with modifiers, etc.