Medicare Billing for Physical, Occupational and, Speech Therapy Based on Minutes

What is the 8-Minute Rule? To receive payment from Medicare for a time-based CPT code, a therapist must provide direct treatment for at least eight minutes. Providers must add the total minutes of skilled, one-on-one therapy and divide by 15. If eight or more minutes remain, you can bill one more unit. For additional information see CMS IOM Medicare Claims Processing Manual 100-4, Chapter 5

Last Updated Nov 14 , 2024