Submit functional limitation G codes for BCN AdvantageSM therapy services

When billing outpatient physical, occupational and speech therapy services for BCN Advantage members, you must report the functional limitation G codes and their applicable modifiers.

It's important to report the modifiers for the nonpayable G codes as secondary to the modifiers for the primary codes. If you report these modifiers as primary, it will cause an error in our payment system and the claim will be denied.

For instructions on how to report these codes correctly, see the article Providers must submit functional limitation G codes for BCN Advantage PT, OT and ST services, in the January-February 2018 issue of BCN Provider News, on page 37.

The document Outpatient rehabilitation services: Frequently asked questions for rehab providers has been updated with this information. This document and other resources are posted on this website, on BCN's Outpatient PT, OT, ST page.

Posted: January 2018
Line of business: Blue Care Network