97004 Occupational therapy Licensed Occupational 1 $34.08 cannot bill re-evaluation Therapist 97003, 97150, or 97530 on the same day 97150 Group occupational therapy Licensed Occupational 1 $18.25 one time per day; service Therapist or cannot bill Licensed Occupational 97003, 97004, or Therapy Assistant 97530 on the same day 97530 Occupational therapy Licensed Occupational 15 min $30.56 4 units per day; service Therapist or cannot bill Licensed Occupational 97003, 97004, or Therapy Assistant 97150 on the same day T1000 Nursing services Registered Nurse 15 min $12.66 8 units per day T1000 Nursing Services Licensed Practical Nurse 15 min $8.21 8 units per day with 52 Modifier 97802 Nutrition assessment & Licensed 15 min $30.03 once per year; 4 intervention Dietitian/Nutritionist units per day 97803 Nutrition re-assessment & Licensed Dietitian/ 15 min $26.35 2 units per day; intervention Nutritionist cannot bill 97802 on the same day T1023-TG Initial IEP/IFSP Qualified Service 1 $500.00 once per lifetime, Coordinator per COMAR age 0-2; once per 10.09.40 or COMAR lifetime, age 3-20 10.09.52 T1023 Periodic IEP/IFSP Review Qualified Service 1 $275.00 3 per calendar Coordinator per COMAR year 10.09.40. or COMAR 10.09.52 T2022 Ongoing Service Qualified Service 1 $150.00 once a month; Coordination Coordinator per COMAR cannot bill T1023 10.09.40 or COMAR or T1023-TG in 10.09.52 the same month T2003 Non-Emergency 1 $12.50 2 units per day Transportation Services W9322 Initial Autism Waiver Plan Qualified Service 1 $500.00 Student must be of Care Coordinator per COMAR enrolled in the 10.09.52 Autism Waiver W9323 Ongoing Autism Waiver Qualified Service 1 $150.00 Student must be Service Coordination Coordinator per COMAR enrolled in the 10.09.52 Autism Waiver
97004 Occupational therapy re-evaluation Licensed Occupational Therapist 1 $34.08 cannot bill 97003, 97150, or 97530 on the same day 97150 Group occupational therapy service Licensed Occupational Therapist or Licensed Occupational Therapy Assistant 1 $18.25 one time per day; cannot bill 97003, 97004, or 97530 on the same day 97530 Occupational therapy service Licensed Occupational Therapist or Licensed Occupational Therapy Assistant 15 min $30.56 4 units per day; cannot bill 97003, 97004, or 97150 on the same day T1000 Nursing services Registered Nurse 15 min $12.66 8 units per day T1000 with 52 Modifier Nursing Services Licensed Practical Nurse 15 min $8.21 8 units per day 97802 Nutrition assessment & intervention Licensed Dietitian/Nutritionist 15 min $30.03 once per year; 4 units per day 97803 Nutrition re-assessment & intervention Licensed Dietitian/ Nutritionist 15 min $26.35 2 units per day; cannot bill 97802 on the same day T1023-TG Initial IEP/IFSP Qualified Service Coordinator per COMAR 10.09.40 or COMAR 10.09.52 1 $500.00 once per lifetime, age 0-2; once per lifetime, age 3-20 T1023 Periodic IEP/IFSP Review Qualified Service Coordinator per COMAR 10.09.40. or COMAR 10.09.52 1 $275.00 3 per calendar year T2022 Ongoing Service Coordination Qualified Service Coordinator per COMAR 10.09.40 or COMAR 10.09.52 1 $150.00 once a month; cannot bill T1023 or T1023-TG in the same month T2003 Non-Emergency Transportation Services 1 $12.50 2 units per day W9322 Initial Autism Waiver Plan of Care Qualified Service Coordinator per COMAR 10.09.52 1 $500.00 Student must be enrolled in the Autism Waiver W9323 Ongoing Autism Waiver Service Coordination Qualified Service Coordinator per COMAR 10.09.52 1 $150.00 Student must be enrolled in the Autism Waiver