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Are there CPT codes for special education services?

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There are no CPT (current procedural terminology) codes for special education services, including services typically delivered by teachers of the visually impaired, teachers of the speech and hearing handicapped, and special educators. CPT codes are used for billing purposes for medical/health services. No such coding system exists for special education services. These types of services are not typically reimbursed by insurers. • A number of my providers are using a reason for treatment as their ICD-9 code (for example, low tone versus Down syndrome for physical therapy services). Is it permissible to code the service this way? As indicated in our guidance documents on EI Records and Commercial Insurance, providers are responsible for identifying the appropriate ICD-9 code for the conditions or reasons for which care is provided. The condition noted for billing does not necessarily have to be the condition for which the child is eligible for the EIP. Use of an ICD-9 code related to ... more
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There are no CPT (current procedural terminology) codes for special education services, including services typically delivered by teachers of the visually impaired, teachers of the speech and hearing handicapped, and special educators. CPT codes are used for billing purposes for medical/health services. No such coding system exists for special education services. These types of services are not typically reimbursed by insurers. • A number of my providers are using a reason for treatment as their ICD-9 code (for example, low tone versus Down syndrome for physical therapy services). Is it permissible to code the service this way? As indicated in our guidance documents on EI Records and Commercial Insurance, providers are responsible for identifying the appropriate ICD-9 code for the conditions or reasons for which care is provided. The condition noted for billing does not necessarily have to be the condition for which the child is eligible for the EIP. Use of an ICD-9 code related to ... more
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