Home Health & Hospice

Q: Our agency is still scratching our head over the new therapy functional reporting G-codes and modifiers.Can you provide some guidance and resources?

Homecare Insider, September 9, 2013

 

Q: Our agency is still scratching our head over the new therapy functional reporting G-codes and modifiers.Can you provide some guidance and resources?

A: Sure. Many providers are still stumped about the use of the new reporting of functional limitations with 42 new nonpayable G-codes and 7 new modifiers on specified claims for physical therapy (PT), occupational therapy (OT) and speech-language pathology (SLP) services.  
 

Here are some resources that should help you:

Therapy claims with dates of service on or after July 1, 2013 that do not contain the required functional G-codes and corresponding modifiers will be returned or rejected, as applicable.