Brace Health resources
Practical guidance authored by the people who work on billing and practice operations every day.
3 resources
The CQ modifier identifies applicable Medicare outpatient physical therapy services furnished in whole or in part by a PTA. It is not required automatically for every PTA-involved visit; apply the current CMS threshold, service-unit rules, exceptions, and claim-line requirements for the date of service.
Updated
For Medicare outpatient therapy, CPT 97014 is not a Medicare-recognized code. A CMS Medicare Coverage Database article for specified contractor jurisdictions describes HCPCS G0283 for certain unattended electrical-stimulation services under a therapy plan of care; confirm the current MAC policy for the service date and location.
Updated
For Medicare outpatient therapy, the 8-minute rule helps determine billable units for timed services measured in 15-minute units. Apply the current Medicare method to documented timed minutes; do not assume that commercial plans use the same method or include untimed services in the calculation.
Updated
