Wiki PT codes 97112 and 97014

[Lanter]

When you bill for a Neuromuscular reeducation can you also bill for a electrical stimulation? These are codes 97112 and 97014. I have a patient they do a 97112 and use a 97014 and I need to know if they do a 97112 and use the 97014 at the same sitting , can we bill both?


Greatly appreciate your opinion,

Thanks,

 

[ralmero]

Hi,


Yes, you are correct. You can bill code 97014 and 97112 separately and get paid for both. The first code is a modality code while the second is a timed therapy. If you worry about clinical edits, you may want to append modifier -59 to bypass it.


Best,
rga/ptrpcpc

 

[mitchellde]

Hi,


Yes, you are correct. You can bill code 97014 and 97112 separately and get paid for both. The first code is a modality code while the second is a timed therapy. If you worry about clinical edits, you may want to append modifier -59 to bypass it.


Best,
rga/ptrpcpc

You can never just "bypass" the clinical edits with a 59 modifier. You first check to see if there are edits, if there are then you need to check to see if a modifier is allowable, if so you must look at the documentation to see if this involves 2 separate areas, if so then and only then may you append a modifier. If the edits show this as non modifiable, or if two separate areas are not involved, then you may bill only one.