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AHA Coding Clinic® for HCPCS - 2014 Issue 1; For Your Information

New "sometimes therapy" HCPCS code

There are two designations utilized for therapy services by Medicare. The services are known as “always therapy” and “sometimes therapy.” An “always therapy” service must be performed by a qualified therapist under a certified therapy plan of care, and a “sometimes therapy” service may be performed by an individual outside of a certified therapy plan of care. For calendar year (CY) 2014 update, the Centers for Medicare & Medicaid Services (CMS) replaced CPT code 0183T, Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day...

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