When a patient receives a therapeutic procedure (eg, 97110 - 97139 ) in a group setting, is it appropriate to report code 97150 , Therapeutic procedure(s), group (2 or more individuals), in addition to the code for the individual therapeutic procedure? ...
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Article Overview
This short CPT coding article addresses how group therapeutic procedure reporting differs from individual therapeutic procedure reporting. It is aimed at coders, billers, and therapy practices that need to understand when group-session reporting applies and how CPT treats the relevant therapy code family at a high level.
Why This Topic Matters
Correctly distinguishing group therapy reporting from individual therapeutic procedure reporting affects claim accuracy and compliance for therapy services.
What You Will Learn
- The general distinction between group therapeutic procedure reporting and individual therapeutic procedure reporting
- How CPT frames therapy services delivered in a supervised group setting
- What type of guidance the article provides for therapy coding in group sessions
- How the article relates to CPT reporting conventions for time-based and per-session services
Who Should Read This
- Medical coders
- Medical billers
- Therapy practices
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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