Review the latest Medicare/Medicaid Updates.

CMS Manual Multiple Procedure Payment Reduction for Therapy 1.3.11

Many therapy services are time-based codes, i.e., multiple units may be billed for a single procedure. We are applying a MPPR to the PE payment when more than one unit or procedure is provided to the same patient on the same day, i.e., the MPPR applies to multiple units as well as multiple procedures. Full payment is made for the unit or procedure with the highest PE payment.

CMS_Manual_Multiple_Procedure_Payment_Reduction_Therapy_Services_1.3.11.pdf