Billing for therapy as a PA

[CPacheco]

I work as a physician assistant at an orthopedic urgent care center where we offer Neuromuscular Electric Stimulation (NMES) as a therapy to aid in recovery and healing. We have a therapist here 3 days a week for that. As a PA, are we able to bill a therapy code for that therapy on the days therapist is not here and I provide the therapy? Any help with this issue is greatly appreciated.

[jmj11]

Here is United Heathcare's position, which is limited coverage for certain ICD 10 and in only certain settings. I would suggest, that you treat it as a routine PA- out patient appointment and bill for time rather than mentioning NMES.