View Run-Time Result of Adding PT Modifier 59 Data Set Items

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Add PT Modifier 59 Data Set Items

On the Data Sets Setup template, click Data Set and select PT Modifier 59. The existing data set items associated with the PT Modifier 59 data set appear in the grid. PT Modifier 59 data set Click Add. The Template Data Sets Setup – [New Record] template opens. Template Data Sets Setup If applicable, click Diagnosis description to search and select a diagnosis. The associated diagnosis code automatically populates. If applicable, click Provider and select a provider from Dbp Rendering Provider. In Code1, enter the CPT code for the first procedure. In Code2, enter the CPT code for the second procedure. In Modifier, enter the modifier as 59. Note: To bill the secondary service or the procedure that is not a part of the primary service or procedure, the modifier 59 is added. In Code Match 1, enter the primary code with which the modifier 59 is attached and sent for billing. In Code Match 2, enter the secondary code with which the modifier 59 is attached and sent for billing. Click Save, a

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PT Modifier 59 Data Set

The PT Modifier 59 data set enables you to configure and store CPT code combinations for which 59 modifier must be attached while sending the information for billing. On the PT Finalize template, you can add several procedures for an encounter. Based on the billing rules, the 59 modifier is attached to include the charges associated with the secondary service or procedure that is provided along with the primary service or procedure. For the procedures, the 59 modifier is attached with the secondary procedure for a specific combination of CPT codes. If the functionality to automatically add the 59 modifier to the secondary procedure is enabled on the Practice Configuration template, then the PT Modifier 59 data set enables you to regulate the automatic addition of 59 modifiers to the secondary procedure. Add PT Modifier 59 Data Set Items Edit PT Modifier 59 Data Set Items Remove PT Modifier 59 Data Set Items Parent topic: List of Data Sets That Can be Configured

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PT

The configuration in thePTsection applies to the Physical Therapy specialty. PT section In thePTsection, you can configure the following: If you select theDisable auto assignment of timed proc unitscheck box, the system does not automatically add the timed procedure units to theProcedurepanel on thePT Finalizetemplate. Procedure panel on the PT Finalize template If you select theEnable expected treatment time trackingcheck box and enter appropriate treatment time in the following fields, the system uploads the treatment time in thePT Finalizetemplate of the corresponding Visit Type: Physical therapy evaluation Physical therapy treatment Physical therapy discharge Physical therapy, re-evaluation PT section PT Finalize template If you select theEnable automatically applying KX modifiercheck box, the system displays the KX modifier alert after you clickVerify Codingon thePT Finalizetemplate. Note: In theProceduresmodule, you need to associate KX modifier to the procedure. If the KX modifi

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Physical Therapy Configuration Options on Practice Configuration

The configuration in thePTsection applies to the Physical Therapy specialty. PT section In thePTsection, you can configure the following: If you select theDisable auto assignment of timed proc unitscheck box, the system does not automatically add the timed procedure units to theProcedurepanel on thePT Finalizetemplate. Procedure panel on the PT Finalize template If you select theEnable expected treatment time trackingcheck box and enter appropriate treatment time in the following fields, the system uploads the treatment time in thePT Finalizetemplate of the corresponding Visit Type: Physical therapy evaluation Physical therapy treatment Physical therapy discharge Physical therapy, re-evaluation PT section PT Finalize template If you select theEnable automatically applying KX modifiercheck box, the system displays the KX modifier alert after you clickVerify Codingon thePT Finalizetemplate. Note: In theProceduresmodule, you need to associate KX modifier to the procedure. If the KX modifi

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Procedures Panel

The Procedures panel on the PT Finalize template automatically displays treating procedures that were previously documented on the Treatment Panel of the Objective template as having been performed during the encounter. Treating procedures can be reviewed and updated. Options include: The ability to add up to three modifiers, the number of billing units, and the diagnosis code(s) associated with each of the treatment procedure(s) The ability to suppress billing for individual treatment procedure items Note: Billing units related to Medicare billing are automatically calculated based on the Medicare 8-minute rule when you select the Apply Medicare check box in the Payer panel. The Procedures panel displays the CPT code and total minutes spent performing the treatment. The time of like CPT codes is combined and appears as a single row with Total minutes for that CPT code. RVU and Units for each treatment are automatically calculated by the system. Procedures Complete Billing for Procedur

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Edit PT Modifier 59 Data Set Items

On the Data Sets Setup template, click Data Set and select PT Modifier 59. The existing data set items associated with the PT Modifier 59 data set appear in the grid. Highlight a grid to modify. Click Update. The Template Data Sets Setup – [New Record] template opens. Make the necessary changes in the applicable fields. Click Save, and then click Close. Parent topic: PT Modifier 59 Data Set

View Run-Time Result of Adding PT Modifier 59 Data Set Items

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Edit PT Modifier 59 Data Set Items