The Centers for Medicare & Medicaid Services (CMS) request that Medicare Administrative Contractors (MACs) evaluate Common Procedure Terminology (CPT) codes for physical and occupational therapy for correct coding, and return or reject therapy evaluation and/or re-evaluation forms accordingly, dispensing particular edit messages to submitters. Contractors are only to actively search for affected claims made on or after January 1, 2017.
Subject: Updated Editing of Professional Therapy Services
Title: Change Request 9933
Release Date: Jan. 27, 2017
Effective Date: Jan. 1, 2017
Implementation Date: July 3, 2017
Special Notes: N/A