The CPT® introductory language for the OMT codes specifies that modifier twenty five is applied to point that a separate and identifiable E/M company was furnished earlier mentioned the same old pre- and submit-assistance perform.

Some payers, from CMS to United Healthcare, have nicely-established protection policies on OMT, while others even now Possess a gross misunderstanding of the cure. I've worked with a lot of non-public payers that, upon promises processing, inappropriately use included OMT services to Bodily therapy or chiropractic Gains.

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The DO decides at each pay a visit to irrespective of whether OMT is appropriate therapy for the presenting issue and should utilize different sorts of OMT on unique overall body regions. OMT may also be accompanied by other therapy modalities.

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