By:Jacqueline Thelian, CPC, CPC-I, CHCA
As per the Centers for Medicare and Medicaid Services (CMS) effective for dates of service on and after January 1, 2019 the reporting of HCPCS G Codes for Functional reporting and the severity modifiers are no longer required.
This change had no impact on the requirement to document Progress Reports. The CMS Local Coverage Determinations (LCD) state “Progress reports shall be written by a clinician at least once every 10 treatment days. A progress report is not a separately billable service.”
It is important to keep in mind progress reports are oftentimes the key document in physical therapy audits to provide the medical necessity for the services rendered.
For further information please go to the following CMS sites: CMS All Fee For Services Providers Page https://www.cms.gov/Center/Provider-Type/all-fee-for-service-providers-center.html
CMS Functional reporting: https://www.cms.gov/Medicare/Billing/TherapyServices/Functional-Reporting.html