PROCEDURE CODES THAT MAY BE BILLED WITH THE “TM” MODIFIER

by | Jul 7, 2010 | CPT modifiers

PROCEDURE CODES THAT MAY BE BILLED WITH THE “TM” MODIFIER

 Procedure Code    Description    Allowed Amount    per Unit  
 92506    Speech/Hearing Evaluation    $10    per unit  
 92507    Speech/Hearing Therapy – Individual    $10    per unit  
 92508    Speech/Hearing Therapy – Group    $3    per unit per student  
 97001    PT Evaluation    $10    per unit  
 97002    PT Re-evaluation    $10    per unit  
 97003    OT Evaluation    $10    per unit  
 97004    OT Re-evaluation    $10    per unit  
 97012    Mechanical Traction Therapy    $10    per unit  
 97014    Electric Stimulation therapy    $10    per unit  
 97016    Vasopneumatic Device Therapy    $10    per unit  
 97018    Paraffin Bath Therapy    $10    per unit  
 97020    Microwave Therapy    $10    per unit  
 97022    Whirlpool Therapy    $10    per unit  
 97024    Diathermy Treatment    $10    per unit  
 97026    Infrared Therapy    $10    per unit  
 97028    Ultraviolet Therapy    $10    per unit  
 97032    Electrical Stimulation    $10    per unit  
 97033    Electric Current Therapy    $10    per unit  
 97034    Contract Bath Therapy    $10    per unit  
 97035    Ultrasound Therapy    $10    per unit  
 97036    Hydrotherapy    $10    per unit  
 97110    Therapeutic Exercises    $10    per unit  
 97112    Neuromuscular Re-Education    $10    per unit  
 97113    Aquatic Therapy    $10    per unit  
 97116    Gait Training Therapy    $10    per unit  
 97124    Massage Therapy    $10    per unit  
 97140    Manual Therapy    $10    per unit  
 97504    Orthotic Training    $10    per unit  
 97520    Prosthetic Training    $10    per unit  
 97530    Therapeutic Activities    $10    per unit  
 97532    Cognitive Skills Development    $10    per unit  
 97533    Sensory Integration    $10    per unit  
 97535    Self Care Management Training    $10    per unit  
 97542    Wheelchair Management Training    $10    per unit  
 97750    Physical Performance Test    $10    per unit  
* 1 unit = 15 minutes of therapy
* Services provided by a speech implementer, OT, or PT assistant may not be billed to Medicaid
* Only SP therapy may be billed as a group therapy. A group consists of 2 or more, but less than 8.
The group may be both Medicaid and non-Medicaid eligible students.