Billing Requirements for Physical and Occupational Therapist Assistants

<< All News Thursday, May 12, 2022 Categories:
Medical Provider All News
Medical Provider Billing
Agency News

In response to several provider questions, WSI is providing clarification on the billing requirements for a service completed by a Physical Therapist Assistant (PTA) or Occupational Therapist Assistant (OTA). When a PTA/OTA completes a medical service, a provider must: 

  • Append modifier CQ/CO to the applicable service line item(s) 
  • Bill with the NPI of the PTA/OTA  
  • Submit medical notes signed by the PTA/OTA 

Reimbursement for a service completed by a PTA/OTA will be at 85% of the WSI Fee Schedule. The reduction applies to both clinic and outpatient hospital bills. Critical access hospitals are not exempt, as WSI does not differentiate between types of hospital types.

If you have questions about this article, please send an email to wsipr@nd.gov. Click here to sign-up to receive email notifications of the latest Medical Provider News. Make sure to follow us on Facebook and Twitter

 

<< All News