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MM12397 - Reduced Payment for Physical Therapy and Occupational Therapy Services Furnished in Whole or In Part by a Physical Therapist Assistant or an Occupational Therapy Assistant

In this Article, you’ll learn about:
• Changes in payments due to Section 53107 of the Bipartisan Budget Act of 2018 (BBA of 2018)
• A payment reduction for services provided by PTAs and OTAs
• Modifiers CQ and CO needed on claims for PTA and OTA services

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 30, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.