Billing and Coding: Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication

Supervised exercise therapy for peripheral arterial disease with symptomatic lower-extremity intermittent claudication is covered when supported by appropriate ICD-10-CM diagnosis codes and medical-record documentation. Coverage is limited to an initial 36 sessions or 12 weeks (whichever comes first); beneficiaries may receive up to an additional 36 sessions only with a new physician referral meeting the same requirements and claims for additional sessions must append modifier -KX.

"Supervised exercise therapy is covered for beneficiaries with peripheral arterial disease (PAD) presenting with symptomatic lower-extremity intermittent claudication when documented with appropriat..."

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