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Therapy Caps to Be Effective January 1, 2006

For services performed in calendar year 2006, there is a $1,740 cap on physical and speech therapy (combined) and a separate $1,740 cap on occupational therapy. That is $1,740 that Medicare allows, paid at 80 percent. This cap does not include therapy performed and billed through the outpatient department of a hospital or as part of Medicare covered home health care services.

Reference: Pub. 100-4, Transmittal# 759, CR# 4115, MM 411

Posted: 01/24/2006

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CPT codes, descriptions, and other data only are copyright 2005 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.

 

 

   
 
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