Modifier Use, Pediatric ListServ Summary, May 2023

Modifier Use, Pediatric ListServ Summary, May 2023

Rehab administrators answer questions regarding Modifier Use. IPRC archives information collected by the Pediatric Rehab Administrator’s ListServ as a public service to the entire Pediatric Rehabilitation Community. All information is posted in summary format and has been de-identified. Search through past queries for responses to rehabilitation related questions.

Original Question(s):

  1. Is anyone using modifiers SZ (habilitative), 96 (habilitative) or 97 (rehabilitative services) for OT, PT and/or Speech?
  2. If so, has there been any effect on reimbursement or denials?
  3. If so, what is the workflow for the clinician for documentation and identification of the correct modifier?

Summary of Responses (De-identified)

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