I have been given instruction to bill for Therapy related services using E/M codes for hospitalist services within global periods of surgeries. Both the surgical service professional fee and the evaluation and management services would be billed using the outpatient claim form with the inpatient POS.
Government guidelines state that therapy is a Part A facility service using the physical therapy codes and revenue codes or an outpatient place of service CPT physical therapy code.
Does anyone know if the hospitalist services would ever be billable in any circumstance if the hospital employs Certified Therapists and Therapy Assistants who are providing the therapy while the patient is still in the hospital? There are also situations where the patient requires physical therapy 2 months after a surgical service (Ex: Craniotomy;90 day global) and may remain or be readmitted to the hospital for the therapy within the global surgery service date.