Describe the session
One patient per superbillOccupational therapy bills a single patient. Everything you type is matched on this device only.
Matching runs on this device. Nothing you type is uploaded or saved.
Diagnosis codes (ICD-10)
0 of 12 usedOne primary diagnosis is required — the chief functional concern. It becomes pointer A; everything else is B–L.
Session settings
Drives place of serviceWhere the session happened sets the POS on every line, telehealth adds modifier 95, and treatment minutes drive the unit calculator.
Medicare 8-minute rule calculator
3 units allowedPick a timed code in step 4.
Units are set automatically — change any unit box below to take over manually.
Procedure codes (CPT)
Four categories, four rulesEvaluations are exclusive, timed interventions stack within the 8-minute rule, add-ons only bill with their parent code.
Evaluation codes
Choose exactly oneEvaluations are untimed — one unit each — and mutually exclusive. Complexity follows the number of performance deficits and how stable the condition is.
Timed interventions — 15-minute units
8-minute ruleThese stack, but the total units are capped by the Medicare 8-minute rule based on the treatment minutes you enter.
Specialty & group codes
UntimedGroup therapy and developmental testing bill per session or per report, not in 15-minute units.
Add-on codes
Only with their parent code97130 unlocks after 97129, and 96113 unlocks after 96112. Add-ons can never stand alone.
Travel & mileage
Non-covered linePortal-to-portal travel is a patient-responsibility line — it carries no diagnosis pointer.
Modifiers, links & charges
Max 4 modifiers · max 4 links per lineGO is applied to every OT line automatically. Stack up to three more — KX, 95 or 59 — when the circumstances apply.
Lines total
$0.00
Auto-applied from your session answers: GO. Adjust per line below.
Pick a procedure code above and the fee will split across your line items.
Locked rows keep their amount; the rest share what's left of the total.
Pick a primary diagnosis — every claim needs one.
No procedure codes selected yet.
Live Preview
CMS-1500Your Practice Name
Provider Name, MS, OTR/L
NPI —
Practice address
Phone · Email
Occupational Therapy · single patient
Diagnoses — A is primary
No diagnosis codes
Procedure / CPT
No codes selected
POS
11
Modifiers used
—
Patient fields stay blank & fillable — no PII ever leaves your device.