How do you code multiple units of time in the medicine section of CPT?

Published by Anaya Cole on

How do you code multiple units of time in the medicine section of CPT?


  1. unit > 8 minutes through 22 minutes.
  2. units > 23 minutes through 37 minutes.
  3. units > 38 minutes through 52 minutes.
  4. units > 53 minutes through 67 minutes.
  5. units > 68 minutes through 82 minutes.
  6. units > 83 minutes through 97 minutes.
  7. units > 98 minutes through 112 minutes.

What are units for CPT codes?

Minutes and Billing Units

8 – 22 minutes 1 unit
38 – 52 minutes 3 units
53 – 67 minutes 4 units
68 – 82 minutes 5 units
83 minutes 6 units

Can you have 2 CPT codes?

A Session with more than one CPT Code Each CPT code that you have entered will be listed. Each CPT code will have a delete icon and an edit icon. This allows you to delete or edit the individual CPT codes. A session with multiple CPT codes will still appear as a single session in your schedule.

What is the 8 minute rule and how is the time billed for two units?

You must complete at least eight minutes of treatment be paid for one 15-minutes increment. So, for example, if you completed 17 minutes of treatment, Medicare would be billed for 15 minutes, or one unit. However, if you completed 23 minutes of treatment, Medicare would be billed for two units of treatment.

How do you calculate billing units?

To calculate billing units, count the total number of billable minutes for the calendar day for the SHARS student, and divide by 15 to convert to billable units of service.

How do you bill multiple joint injections?

Report a single unit of 20600-20611 for each joint treated, regardless of how many aspirations and/or injections occur in a single joint. You may report multiple units of a single code for aspiration/injection of multiple joints of same size (e.g., two large joints, left knee and left shoulder).

Can modifier 50 be billed with 2 units?

Bilateral surgical and nonsurgical procedures are reported as a single code billed (1) with modifier 50, (2) twice on the same day with RT and LT modifiers, or (3) with 2 units. For Medicare plans, Aetna pays 150% of the fee schedule amount for a bilateral surgical procedure.

How does the 8-minute rule work?

How Does the 8-Minute Rule Work? The 8-minute rule states that to receive Medicare reimbursement, you must provide treatment for at least eight minutes. Using the “rule of eights,” billing units that are normally based on 15-minute increments spent with a patient can be standardized.

How do you bill a bilateral knee injection?

Indicate which knee was injected by using the RT (right) or LT (left) modifier (FAO-10 electronically) on the injection procedure (CPT 20610). Place the CPT code 20610 in item 24D. If the drug was administered bilaterally, a -50 modifier should be used with 20610.

How do I bill multiple 20610?

If the provider performs injections on separate, non-symmetrical joints (e.g., left shoulder and right knee), you may report two units of 20610 and append modifier 59 Distinct procedural service to the second unit (e.g., 20610, 20610-59) to indicate the second procedure occurred at a different joint.

Can you bill 2 units 96372?

The IM or SQ injection can be billed more than once or twice. If the drug is prepared and drawn up into two separate syringes and it is then administered in two individual injections in two distinct anatomic sites, you can bill two units of code 96372 (billing second unit with modifier 76).

Why was 29582 removed from the CPT code set?

Code 29582, Application of multilayer compression system; thigh and leg, including ankle and foot, when performed, was deleted from the CPT code set for 2018 because it was determined that 29582 was being misreported in conjunction with codes for sclerotherapy, endovenous ablation, and vascular embolization/occlusion.

What are the CPT codes 29581-29584?

Before beginning, lets review the CPT description of CPT codes 29581-29584 and what they are used for. 29581 – Application of multi- layer compression system; leg (below knee), including ankle and foot 29582 – Application of multi-layer compression system; thigh and leg, including ankle and foot, when performed

What is the CPT code for multi layer compression?

CPT code 29581- Application of multi-layer compression system; leg (below knee), including ankle and foot An instructional note has been revised: “Do not report code 29581 in conjunction with 29540, 29580, 36468, 36470, 36471, 36475, 36476, 36478, 36479”

Do 29580 and 29581 count toward the Medicare cap for physical therapy?

The wound clinic physical therapists frequently use codes 29580, 29581, and 29445. As they are multidisciplinary codes not in the 97xxx series, there is confusion as to whether these codes count toward the annual Medicare cap for PT. Do you know if these count toward the Medicare cap?