Hi Guest! Great question. the insurer may be looking for modifier 59: Modifier 59 – Distinct Procedural Service (indicates that a procedure is separate and distinct from another procedure on the same date of service) Or, we have seen some insurer require use of the GP, GO or GN modifier for: 97110 (Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility) and 97112 (Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities) These modifiers stand for: GP – Services delivered under an outpatient physical therapy plan of care GO – Services delivered under an outpatient occupational plan of care. GN – Services delivered under an outpatient speech language pathology plan of care Hope this helps!
