BRRR coding corner
Briefings on Outpatient Rehab: Reimbursement and Regulations, April 1, 2009
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I have a question regarding billing for VitalStim therapy on Medicare patients. Recently, we have been receiving denials for provided outpatient therapy services. Up until now, I have always billed for a dysphagia treatment (92526) and an electrical stimulation attended charge (97032).
I include documentation in all of my SOAP notes regarding both types of treatment. Can you give me guidance as to the correct billing on this subject? CMS does not knowingly reimburse separately for VitalStim therapy in the treatment of dysphagia patients. VitalStim therapy is electrical stimulation that SLPs began using in 2003 as an adjunct to accepted reasonable and necessary dysphagia treatment interventions.
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