Maximum fees for the physical medicine and rehabilitation modalities in the following list are determined according to the following payment schedule when more than one modality on the list is provided to the same patient on the same day: 100 percent of the fee calculated according to the formula in part 5221.4020 for the modality with the highest RVU and 75 percent of the fee calculated according to the formula in part 5221.4020 for each additional modality. All modalities after the first modality with the highest RVU shall be coded by adding modifier 51 to the applicable procedure code.
97012 Mechanical traction therapy 97014 Electrical stimulation therapy 97016 Vasopneumatic device therapy 97018 Paraffin bath therapy 97022 Whirlpool therapy 97024 Diathermy treatment 97026 Infrared therapy 97028 Ultraviolet therapy 97032 Electrical stimulation 97033 Electric current 97034 Contrast bath therapy 97035 Ultrasound therapy 97036 Hydrotherapy 97039 Unlisted therapy service
History: 18 SR 1472; 20 SR 530; 25 SR 1142; 35 SR 227
Posted: Sept. 30, 2010