Advance Magazine columnist Rick Gawenda, PT answers tough aquatic therapy questions like these for breakfast.
Question #1: We're an outpatient hospital billing on a UB92. A patient is attending one of our satellites for land physical therapy 3 days a week and requested to come to another satellite facility the other 2 days for aquatic therapy. Even though both satellite facilities show 1 tax identification number and the UB92 reflects the same HCPC codes, the charges are from two different services lines. Will Medicare pay to treat this patient 3 times a week on land at one satellite and 2 times at another for aquatic therapy?
Question #2: Are land and pool services that are delivered on the same day billable to Medicare? The ICD-9 codes are the same for both therapies.
Read his answers here (tab down to find question):
Rick Gawenda, PT, is president of the American Physical Therapy Association section on health policy and administration. He's also the director of physical medicine and rehabilitation at Detroit Receiving Hospital in Michigan. He conducts national seminars on coding and reimbursement, along with other topics. If you have a tough coding issue you can't crack, e-mail firstname.lastname@example.org. To read more coding suggestions, go to www.advanceweb.com/rehab and click on the Coding Clues tool bar.