Health Information Management

Q&A: Why was the MIST Therapy Category III HCPCS code deleted?

APCs Insider, March 14, 2014

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Q: Is there a new way to report MIST Therapy® in 2014? 
 
A: Yes. For 2014, Category III HCPCS code 0183T (low frequency, non-contact, non-thermal ultrasound, including topical application, when performed, wound assessment, and instruction for ongoing care, per day) was deleted and replaced with a Category I CPT® code. The new code, 97610, has the same description as the deleted code.
CMS has included 97610 on the list of “sometimes therapy” services. The items on the “sometimes therapy” services list are paid under the OPPS when they are not furnished under a therapy plan of care. When furnished under a therapy plan of care, they are considered a physical or occupational therapy service and paid under the appropriate fee schedule.
 
Editor’s note: Andrea Clark, RHIA, CCS, CPCH, chairman, CEO, and founder of Health Revenue Assurance Associates, Inc., in Plantation, Fla., answered this question.



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