Occupational and Physical Therapy: TL and TM Modifiers

January 10, 2012

As of December 1, 2011, Section 68 Occupational Therapy Services and Section 85 Physical Therapy Services require providers to use the TL or TM modifier on claims for services that are part of an Individual Family Service Plan (IFSP) or Individual Education Plan (IEP) respectively. The MIHMS system has been updated to recognize these modifiers. Claims with these modifiers that were incorrectly denied will be reprocessed; providers do not need to resubmit these claims.