Statutes, codes, and regulations
Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.05-085 - Occupational, Physical and Speech Therapy Services Provider Manual Update Transmittal #52

016.06.05 Ark. Code R. 085

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Current through Register Vol. 49, No. 10, October, 2024
Rule 016.06.05-085 - Occupational, Physical and Speech Therapy Services Provider Manual Update Transmittal #52
262.110 Occupational, Physical, Speech Therapy Procedure Codes

The following occupational, physical and speech-language pathology procedure codes are payable when billed using type of service (TOS) B.

A.OCCUPATIONAL THERAPY

Procedure Code

Required Modifiers

Description

97003

-

Evaluation for Occupational Therapy

(30-minute unit; maximum of 4 units per state fiscal year, July 1 through June 30)

97530

-

Individual Occupational Therapy (15-minute unit; maximum of 4 units per day)

97150

U2

Group Occupational Therapy

(15-minute unit; maximum of 4 units per day, maximum of 4 clients per group)

97530

UB

Individual Occupational Therapy by Occupational Therapy Assistant

(15-minute unit; maximum of 4 units per day)

97150

UB, U1

Group Occupational Therapy by Occupational Therapy Assistant

(15-minute unit; maximum of 4 units per day, maximum of 4 clients per group)

B.PHYSICAL THERAPY

Procedure Code

Required Modifier

Description

97001

-

Evaluation for Physical Therapy

(30-minute unit; maximum of 4 units per state fiscal year, July 1 through June 30)

97110

-

Individual Physical Therapy

(15-minute unit; maximum of 4 units per day)

97150

-

Group Physical Therapy

(15-minute unit; maximum of 4 units per day, maximum of 4 clients per group)

97110

UB

Individual Physical Therapy by Physical Therapy Assistant (15-minute unit; maximum of 4 units per day)

97150

UB

Group Physical Therapy by Physical Therapy Assistant

(15-minute unit; maximum of 4 units per day, maximum of 4 clients per group)

C.SPEECH-LANGUAGE PATHOLOGY

Procedure Code

Required Modifier

Description

92506

-

Evaluation for Speech Therapy

(30-minute unit; maximum of 4 units per state fiscal year, July 1 through June 30)

92507

-

Individual Speech Session

(15-minute unit; maximum of 4 units per day)

92508

-

Group Speech Session

(15-minute unit; maximum of 4 units per day, maximum of 4 clients per group)

92507

UB

Individual Speech Therapy by Speech-Language Pathology Assistant

(15-minute unit; maximum of 4 units per day)

92508

UB

Group Speech Therapy by Speech-Language Pathology Assistant

(15-minute unit; maximum of 4 units per day, maximum of 4 clients per group)

016.06.05 Ark. Code R. 085

11/4/2005