97110 Physical therapy service Licensed Physical 15 min $29.03 4 units per day; Therapist or cannot bill Licensed Physical Therapy 97161, 97162, Assistant 97163 or 97164 on the same day 97165 Occupational therapy Licensed Occupational 1 $67.01 one time per 12 evaluation, Low Therapist months complexity, 30 minutes 97166 Occupational therapy Licensed Occupational 1 $67.01 one time per 12 evaluation, Moderate Therapist months complexity, 45 minutes 97167 Occupational therapy Licensed Occupational 1 $67.01 one time per 12 evaluation, High Therapist months complexity, 60 minutes 97168 Occupational therapy Licensed Occupational 1 $44.34 cannot bill re-evaluation Therapist 97165, 97166, 97167, 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 97165, 97166, Therapy Assistant 97167, 97168, or 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 97165, 97166, Therapy Assistant 97167, 97168, or 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
97110 Physical therapy service Licensed Physical Therapist or Licensed Physical Therapy Assistant 15 min $29.03 4 units per day; cannot bill 97161, 97162, 97163 or 97164 on the same day 97165 Occupational therapy evaluation, Low complexity, 30 minutes Licensed Occupational Therapist 1 $67.01 one time per 12 months 97166 Occupational therapy evaluation, Moderate complexity, 45 minutes Licensed Occupational Therapist 1 $67.01 one time per 12 months 97167 Occupational therapy evaluation, High complexity, 60 minutes Licensed Occupational Therapist 1 $67.01 one time per 12 months 97168 Occupational therapy re-evaluation Licensed Occupational Therapist 1 $44.34 cannot bill 97165, 97166, 97167, 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 97165, 97166, 97167, 97168, 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 97165, 97166, 97167, 97168, 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
Policy%20Manual-IEP-IFSP-01-01-17.docx