Section GG
Part B Coding
Part B Units
Sensory Integration
Ultra Mist
100

This prior device used by a resident can lower GG outcome expectations.

What is a lift chair/device?

100

Diathermy and speech therapy swallow treatment are examples of untimed codes, or codes that regardless of time delivered reimburse for this many units.

What is 1 unit?

100

A PT sees a B patient for 55 mins and delivers there ex for 30 mins, and gait for 25 mins, they have delivered how many units.

What is 4 units of treatment?

100

Sensory Integration can be delivered to patients by these disciplines of therapy.

What is PT, OT and ST?

100

One unit of Ultramist delivered to a part B patient is equivalent to this financial amount.

What is $355 in full or $164 NOI?

200

These beginning and ending days of a Medicare A patient stay are considered days of data collection.

What are 3 days beginning with admission and 3 days leading to discharge (admission date and two days after and dc date and two days before)?

200

This code allows a therapist to work with up to 6 patients at one time doing the same activities.

What is a group code?

200

When a Speech Therapist sees a part B patient for swallow treatment for 28 mins it's considered this many units.

What is 1 unit-untimed?

200

This study of SI and physical therapy showed an ancient Chinese internal martial arts movements reduced falls.

What is Tai Chi?

200

This solution combined with ultrasound is used to create the mist in Ultramist.

What is Saline?

300

This is the level of assistance coded when providing verbal cues for double swallowing to a patient who can feed themselves.

What is 4-supervision or touching assistance?

300

This code can be billed when working with family or staff in the absence of a patient.

What is a caregiver education code (97550, 97551, 97552)?

300

When a part B patient is billed with another patient at the same time, this is the correct code to bill.

What is Group?

300

These passive activities alone are considered non-therapeutic in and of themselves as sensory integration.

What is watching a video, listening to music, aromatherapy?

300

These 3 reasons are why UM can clinically be billed to a patient.

What is wounds/ulcers too painful for sharps or excision debridement and have failed conventional debridement treatment?

What is a wound without documented improvement over 30 days of standard wound care?

What are documented contraindications to sharps or excisional debridement?

400

This patient would be coded in this way for toileting, when they can undress and dress independently but need assist with hygiene.

What is partial/moderate assist?

400

This code generated from Net Health allows a patient to be billed for B services beyond their part B caps.

What is a KX modifier?  Allows billing beyond $2480 for OT, or PT and ST combined.

400

A service log for a part b patient (tracks patient mins/unit delivery) consistently shows 38 mins every day would be a cause for concern.

What is compliance?  What is RDTS?  What is DOR?

400

This is the total number of SI units allowed to billed across all disciplines per day.

What is 4?

400

Once treated with Ultramist for 3 times a week, a wound should show improvement in this period of time.

What is two weeks?

500

This patient would be coded at this level for oral hygiene when a nurse provides steadying assist for them to walk to a bathroom and and puts toothpaste on a toothbursh.  The patient stands and brushes their teeth and then washes their face and hands without physical assist or supervision.  Once done, the nurse provides assist to walk them to their bed.

What is level 5-set up or clean up assist?

500

This number of patient visit is to be provided and documented by a supervising therapist who has collaborated with a therapy assistant on a plan of care.

What is the 10th visit?

500

When an OT delivers ADLs for 10 mins, Sensory Integration for 10 mins, and Therapeutic exercise for 10 mins to a patient, they have delivered this many units of treatment.

What is 2 units?

500

This is a general term used to describe daily notes and weekly notes that look similar to each other.

What are copy and paste notes?

500

This disposable wand head to an Ultramist unit can be used this many treatment times with wounds.

What is one time?