016.06.05 Ark. Code R. 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)

Notes

016.06.05 Ark. Code R. 085

11/4/2005