0124-Part B Therapies in a Hospital Setting
HCPCS/CPT Codes with a PC/TC Indicator “7” in the Medicare Physician Fee Schedule Data Base payment may not be made if the service is provided to a hospital inpatient by a physical therapist, occupational therapist or speech language therapist in private practice.
HCPCS/CPT Codes with a PC/TC Indicator of "7" in the MPFSDB
(See Appendix D for complete list of HCPCS/CPT code and descriptions)
Applicable Policy References
Social Security Act: Section 1833(e)
CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 5, Section 10
CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 23, Addendum-MPFSDB File, Layouts, 2001-2018