Changes in Florida PIP Law - Vernis & Bowling Rationale: CPT code 97039, unlisted modality billed – The requestor is seeking reimbursement of Code 97039 – “Unlisted modality (specify type CPT code 97039 is not payable under the Medicare Fee Schedule. Therefore, no additional reimbursement is recommended for this date of service.
Use 97039 to report procedures in which the provider uses a physical therapy modality that does not have a specific code. CPT code 97039 is used when a therapy modality does not have a specific code that is reimbursable under Medicare. Typically, this code was reimbursed at $15.00. CPT Codes for Laser Therapy - Billing Guidelines 2024
Understanding Reimbursements for CPT Code 97039 | Marshall CPT Code 97039: The Ultimate Billing & Reimbursement Guide for Allegations regarding improper payment for CPT Code 97039 is a focal point by the plaintiff's bar. reimburse for that service.
CMS Manual System A New Development: Allstate Indemnity Co. v. Gady Abramson, D.C., P.A. · Statutory construction governs reimbursement: Reimbursement must align CPT 97039 is a time-based manual therapy code used for unlisted or emerging physical medicine modalities that require constant provider attendance.
CPT 97039 Fee Schedule. Last Verified: December 2025. Healthcare providers use this code to document and receive reimbursement for visits that address CPT Code 97039 - Description and Fee Schedule 2025 | PayerPrice
CPT® Code 97039 - Constant Attendance Physical Medicine and A Guide to CPT Code for Laser Therapy: Understanding Usage and Reimbursement Laser therapy, represented by CPT code 97039, harnesses the power of Division of Workers' Compensation Letter
Medical Fee Dispute Resolution Findings and Decision In addition to a detailed service description, for CPT code 97039, unlisted modality, information claims will be reimbursed under the The Ongoing Debate Over CPT Code 97039: What Florida Carriers