As part of our commitment to ensuring smooth and accurate claims processing, below are the specific documentation requirements for submitting claims related to time-based codes.
Healthcare providers should ensure the following details are included in your claims to avoid delays or rejections:
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Services
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Required Documentation
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Physiotherapy Codes
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- Start Time and End Time [Total Time] spent for each modality on Physiotherapy (for each Time-Based CPT code)
- This should be documented on the Physiotherapy Notes / Medical Report
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Psychotherapy Codes
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- Start Time and End Time [Total Time] spent on Psychotherapy (for each CPT code)
- A detailed description of services provided should also be included on the Psychotherapy notes / Medical Report
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OT Units
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- Required Documentation: OT notes with Start Time [pre-medication] and End Time [till Recovery]
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Anesthesia Units
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- Anesthesia notes, either as separate Anesthesia notes or included within OT notes, with Start Time and End Time
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Occupational therapy
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- Start Time and End Time [Total Time] spent on Occupational Therapy (for each Time-Based CPT code)
- This should be documented on the Occupational Therapy notes / Medical Report
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Healthcare providers shall ensure that all claims submissions adhere to these requirements to ensure timely and accurate processing.
