Physical Therapy status 'B' codes are codes for which payment is included in the basic allowance of another procedure. Regardless of whether submitted on a claim alone or in conjunction with another therapy code, a separate payment will never be made for the codes and the patient cannot be billed for these services.

The following CPT codes for physical therapy services are designated as 'Status B' in the 2008 Medicare Physician Fee Schedule Database (MPFSDB):

• 97010
• 92605
• 92606
• 97602

• To find definitions of 'Status Indicators,' refer to CMS Publication 100-04, chapter 23, section 30.2.2 (PDF, 1.28 MB)
• Bundled Codes: Status B Indicator: When the Medicare Physician Fee Schedule Database is updated, CMS defines certain services that will not be reimbursed by Medicare Part B. Status B indicates: Payment for covered services is always bundled into payment for other services not specified. When these services are covered, payment for them is subsumed by the payment for the services to which they are incident (an example is a telephone call from a hospital nurse regarding care of a patient). You cannot bill the patient for these services. (The TC modifier is a HCPCS modifier and the 26 modifier is a CPT modifier.) The effective date for these services is January 1, 2009.

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