A physical performance test or measurement may be reasonable and
necessary for patients with neurological or musculoskeletal conditions
when there is a need to evaluate the ability to perform specific tasks.
It may include a number of multi-varied tests and measurements of
physical performance of a select area or number of areas. These
services are not to be used in lieu of evaluation or re-evaluation
services. It would not be appropriate to report a code from the
95831-95834 or the 95851-95852 series in addition to 97750. It is not
medically reasonable and necessary to bill this service as part of a
routine assessment/evaluation of rehabilitation services (97001, 97002,
97003 or 97004). Direct one-on-one patient contact is required.
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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...
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