Code 97110 must be billed for at least 2 units as it contains two 15-minute blocks. To determine the allocation of the third unit, compare the “remaining minutes”, and apply the additional unit to the service with the most remaining minutes.
97139 - Information in the medical record and on the claim submitted to the contractor must specify the procedure furnished and also meet the other requirements for therapeutic procedures, i.e., the process of effecting change, through the application of clinical skills or services that attempt to improve function.
Code annotations containing back-references to I10: 1 Code Also: H35.0#N#ICD-10-CM Diagnosis Code H35.0#N#Background retinopathy and retinal vascular changes#N#2016 2017 2018 2019... 2 Applicable To: O10.0#N#ICD-10-CM Diagnosis Code O10.0#N#Pre-existing essential hypertension complicating pregnancy,... More ...
I10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM I10 became effective on October 1, 2020. This is the American ICD-10-CM version of I10 - other international versions of ICD-10 I10 may differ. ICD-10-CM Coding Rules.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Language quoted from Centers for Medicare and Medicaid Services (CMS), National Coverage Determinations (NCDs) and coverage provisions in interpretive manuals is italicized throughout the policy.
This article gives guidance for billing, coding, and other guidelines in relation to local coverage policy Outpatient Physical and Occupational Therapy Services L34049.
The following ICD-10-CM Codes do not support the medical necessity for the CPT/HCPCS code 97035.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.