31255

FISS Narrative:
Claims billed on or after July 3, 2006, TOB of 12x, 13x, 22x, 23x, 34x, 74x or 75x with Revenue Code 042x without an Occurrence Code 29, or claim billed with Occurrence Code 29 without Revenue Code 042x.

Explanation and suggestion:

  • The date the outpatient physical therapy (OPT) plan was established or last reviewed (Occurrence Code 29) is required on all outpatient claims on which physical therapy (Revenue Code 42x) is billed
  • The reverse is also true – if Occurrence Code 29 is included on an outpatient claim, Revenue Code 42x must be billed on that claim

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 



spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer