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LIST OF MODIFIERS

Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

Community/Work Reintegration Training (CPT Code 97537)


Community reintegration is performed in conjunction with other therapeutic procedures such as gait training and self-care/home management training. The payment for community reintegration training is bundled into the payment for those other services. Therefore, these services are not separately reimbursable by Medicare.

Services, which are related solely to specific employment opportunities, work skills, or work settings are not reasonable and necessary for the diagnosis and treatment of an illness or injury and are excluded from coverage by Section 1862(a)(1) of the Social Security Act

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