As per Aetna Updates: starting December 1,2023 the Occupational Therapy Assistants and Physical Therapy Assistants will get their own reimbursement for performed services.
Reimbursement amount: 85% of Allowed amount.
Please append the following modifiers to the services that are performed by the PTAs and OTAs:
CO-occupational therapy services performed in part or as a whole by an Occupational Therapy Assistant
CQ-physical therapy services performed in part or as a whole by a Physical Therapy Assistant.
This change applies to Medicare and Commercial plan types.
Find this type of content useful? Follow my blog for more medical billing and coding updates/changes from various insurance payers.
Previous Blog Posts:
Effective for any DOS August 2025 and thereafter Point of Care testing for Syphilis is covered for all fee fo service Medicaid and Managed Medicaid Members. Where is this test covered (POS)? physician/nurse practitioner/licensed midwife private office setting What kind of POC is covered and reimbursed? Currently there is only one FDA approved test -Clinical…
If you are a provider in NY and accept Managed Medicaid or Fee-for-service Medicaid plan types, then this blog post post is for you! For any DOS (for deliveries on July 1, 2024) and thereafter, the OBGYN providers billing bundled/global OBGYN codes, are also required to bill the following CPT II reporting codes. Global OBGYN…
Do you accept NYS Medicaid or Managed Medicaid Plan members? Then this blog post is for you! Non surgical treatment should be attempted: ex. diet and increased exercise. Bariatric Surgery Adult Patient: 18 years old and over Pediatric patients: 18 years and older – patients that are deemed physically, mentally, and emotionally mature by a…
KR2 Medical Billing 