Revenue Cycle

Scenario: Physical therapy treatments billing

Medicare Update for CAHs, January 11, 2012

A patient undergoes physical therapy treatments on January 1 and 6. A CT scan, not a supporting service to the physical therapy, was also performed on January 6. On January 11 and 18, the patient underwent additional physical therapy treatments. What is the appropriate way to bill Medicare for these services?

The correct way to bill for these services is to put the physical therapy treatments on one bill and put the CT scan on a separate bill. The revenue codes for physical therapy are considered to be repetitive service revenue codes. Where repetitive services are furnished during the same month as non-repetitive services, all of the repetitive services must be submitted on a single claim. Non-repetitive services must be billed separately.

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