What is procedure code 97035?

What is procedure code 97035?

CPT 97035 – Ultrasound (to one or more areas) Phonophoresis (the use of ultrasound to enhance the delivery of topically applied drugs) will be reimbursed as ultrasound, billable using CPT 97035.

Is CPT 97035 a timed code?

You may not bill for the ultrasound (97035) because the total time of timed units that can be billed is constrained by the total timed code treatment minutes (i.e., you may not bill 4 units for less than 53 minutes regardless of how many services were performed).

How much does iontophoresis treatment cost?

Iontophoresis treatments in a doctor’s office will set you back about $150 to $200 per session. Costs can vary significantly depending on the selected practitioner and location.

How many units is 60 minutes physical therapy?

four units
The Rationale. For this patient, the total treatment time for all timed CPT codes is 60 minutes. Per the chart below (i.e., the Medicare 8-Minute Rule chart), that means you can bill four units.

What is the 8 minute rule in therapy?

8-Minute Rule Basics Basically, a therapist must provide direct, one-on-one therapy for at least eight minutes to receive reimbursement for one unit of a time-based treatment code.

Does the 8-minute rule apply to Medicare Part A?

The rule does not apply to Medicare Part A services.

Does iontophoresis work permanently?

Is the iontophoresis treatment permanent? No, iontophoresis for hyperhidrosis is not a permanent solution. After the initial treatment period when the desired level of sweat reduction is achieved, maintenance treatments must be continued indefinitely (usually once a week).

Does iontophoresis work forever?

Tips for Getting the Most Out of Iontophoresis Treatments will continue indefinitely and can involve a large time commitment, especially in the beginning.

Is hyperhidrosis covered by medical?

Treatment of hyperhidrosis is considered not medically necessary in the absence of functional impairment or any of the above medical conditions. 1. The following treatments are considered investigational for treatment of severe gustatory hyperhidrosis including, but not limited to: a. Botulinum toxin, b.

Does Medicare use the 8-minute rule?

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 are services measured in CPT code 97035?

For this code range, services are measure in15 minute time units. Time must be documented. Units are required in addition to the code for billing with one unit equaling 15 minutes. CPT 97035 Application of a modality to 1 or more areas; Ultrasound, each 15 minutes

What is CPT 97110-97535 for chiropractors?

When other therapeutic techniques (CPT 97110-97535) are billed by any provider (including a chiropractic physician) these services will apply to the defined benefit limit for PT, ST, and OT combined. OT services in the Emergency Room apply to the PT, ST, and OT combined defined visit benefit limit.

What is the difference between IFC and CPT 97032?

If electrical stimulation is applied manually and direct one-on-one contact is provided by the therapist, CPT 97032 should be used. Interferential current/medium current (IFC) units use a frequency that allows the current to go deeper into the tissue.

How do I find my current Medicare benefits?

Your Medicare Benefits The information in “Your Medicare Benefits” describes the Medicare Program at the time it was printed. Changes may occur after printing. Visit Medicare.gov, or call 1-800-MEDICARE (1-800-633-4227) to get the most current information. TTY users can call 1-877-486-2048. “Your Medicare Benefits” isn’t a legal document.