News Report | July 7, 2020
Humana Adopts New Coding System For Physical Therapy Assistants, Anticipates Payment Differential Beginning In 2022
Humana is adopting a new coding system for outpatient physical therapy delivered “in whole or in part” by a physical therapy assistant or an occupational therapy assistant. The new system includes new code modifiers; “CQ” for a physical therapy assistant and “CO” for an occupational therapy assistant. The new modifiers must be used for claims submitted on or after January 1, 2020. In 2022, Humana intends to develop new payment rates so that services delivered by an assistant are paid at 85% of the contracted rate paid for services provided by a physical or occupational therapist.
Humana explained the new . . .