The CPT® introductory language for that OMT codes specifies that modifier 25 is utilised to indicate that a separate and identifiable E/M company was furnished above the same old pre- and write-up-assistance operate.
Some payers, from CMS to United Healthcare, have properly-set up coverage procedures on OMT, while others still have a gross misunderstanding of the procedure. I have labored with numerous private payers that, on promises processing, inappropriately apply coated OMT services to Bodily therapy or chiropractic Advantages.
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1. The healthcare file ought to support the health-related necessity in the E/M service and also the osteopathic manipulative procedure.
The DO determines at Every stop by whether OMT is appropriate therapy for the presenting issue and should use various forms of OMT on various entire body regions. OMT may also be accompanied by other treatment method modalities.
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