MSP Billing Codes

Specialty: Physiotherapy

Code	Description	Fee
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19324	Worksafebc - rural pt complex exception fee	$178.00
19323	Worksafebc amputee pt visit	$31.00
19325	Worksafebc dnr - non contracted physio visit	$45.00
19314	Worksafebc physio (vestibular) initial visit	$29.00
19316	Worksafebc physio (vestibular) subsequent visit	$29.00
19171	Worksafebc physio clinical/chart notes,1st 5 pages	$42.00
19172	Worksafebc physio copy/report each page over 5 pgs	$1.26
19308	Worksafebc physio direct referral-daily rate	$60.00
19203	Worksafebc physio exception to stdrd trtment rprt	$37.62
19187	Worksafebc physio excepts to std trtmnt late rprt	$32.42
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19198	Worksafebc physio home visit travel	$27.50
19199	Worksafebc physio hydrotherapy - small group	$27.50
19181	Worksafebc physio init vis exception to std trtmnt	$51.75
19183	Worksafebc physio initial cns disorder visit	$31.00
19182	Worksafebc physio initial home visit	$27.50
19197	Worksafebc physio late report for cns disorder	$32.42
19189	Worksafebc physio late report for home visit	$32.42
19188	Worksafebc physio late requested report	$32.42
19200	Worksafebc physio medical - legal report	$374.54
19208	Worksafebc physio off shelf orthotics	$2,000.00
19205	Worksafebc physio pending claim report fee	$59.41
19177	Worksafebc physio phone consultation by worksafebc	$27.50
19345	Worksafebc physio pilot-telephone consult	$28.00
19175	Worksafebc physio report for cns disorder	$65.00
19173	Worksafebc physio report for home visit	$50.00
19318	Worksafebc physio report for vestibular pt	$60.00
19167	Worksafebc physio requested report	$50.00
19186	Worksafebc physio standard treatment late report	$32.42
19185	Worksafebc physio standard treatment report	$37.62
19165	Worksafebc physio sub central nervous disorder vis	$31.00
19184	Worksafebc physio sub visit exception to std trtmt	$41.98
19163	Worksafebc physio subsequent home visit	$27.50
19202	Worksafebc physio subsequent visit std treatment	$41.98
19204	Worksafebc physio telephone consult for rtw	$30.00
19178	Worksafebc physio trt visit form rec'd in 72 hrs	$62.75
19179	Worksafebc physio trt visit, form rec'd > 72 hrs	$56.75
19196	Worksafebc physio-pt-stream 1 -report (cbi only)	$37.62
19193	Worksafebc pt - hydrotherapy visit	$63.00
19319	Worksafebc pt - secondary asses't report	$125.00
19305	Worksafebc pt (hospital) - daily rate	$60.00
19307	Worksafebc pt team meeting per 15 min	$27.50
19313	Worksafebc pt- hydrotherapy visit (delegated)	$47.00
19309	Worksafebc pt(ps)-subsequent post-surgical extensn	$320.00
19347	Worksafebc reserved physio pilot-hydrotherapy sml	$27.15
19348	Worksafebc reserved physio pilot-hydrotherapy-lrg	$35.91
19340	Worksafebc reserved physio pilot-initial visit	$50.25
19343	Worksafebc reserved physio pilot-requested report	$50.00
19341	Worksafebc reserved physio pilot-subsequent visit	$38.52
19346	Worksafebc reserved physio pilot-telephone consult	$27.59
19344	Worksafebc reserved physio pilot-timely report fee	$5.00
19342	Worksafebc reserved physio pilot-treatment report	$32.62
19315	Worksafebc-physio (clinical specialty) visit	$31.00
19291	Worksafebc-pt assessment block incl initial report	$225.00
19295	Worksafebc-pt complex exception fee	$178.00
19296	Worksafebc-pt daily rate	$70.00
19194	Worksafebc-pt day 1 pgm coaching/mentoring	$30.00
19302	Worksafebc-pt discharge report	$40.00
19293	Worksafebc-pt extension request report	$52.00
19195	Worksafebc-pt functional abilities report	$52.00
19303	Worksafebc-pt requested report	$55.00
19294	Worksafebc-pt standard extension block	$320.00
19297	Worksafebc-pt(ps) assessment blck incl.initial rpt	$195.00
19301	Worksafebc-pt(ps) daily rate	$70.00
19299	Worksafebc-pt(ps) extension request report	$52.00
19300	Worksafebc-pt(ps) post surgical extension block	$498.00
19298	Worksafebc-pt(ps) post surgical treatment block	$920.00
19292	Worksafesbc-pt standard treatment block	$560.00

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