AHA Coding Clinic® for HCPCS - 2020 Issue 1; For Your Information

2020 Annual update to the therapy code list

For CY 2020, the CPT Editorial Panel created two new biofeedback codes to replace CPT code 90911. CMS designated them as “sometimes therapy” to permit physicians and Non-Physician Practitioners (NPPs), including nurse practitioners, physician assistants, and certified nurse specialists to furnish these services outside a therapy plan of care when appropriate. However, when furnished to hospital outpatients, these two new biofeedback services will continue to be paid under the Outpatient Prospective Payment System. The two new “sometimes therapy” codes using their CPT long descriptors, are as follows: CPT code 90912 — Biofeedback training, perineal muscles, anorectal or...

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