La. Admin. Code tit. 40 § I-5131

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-5131 - Biofeedback

A. Biofeedback training may be reimbursed when it is medically necessary. A written plan of care which includes objectives, the estimated length of treatment and stated goals must be submitted to the carrier/self-insured employer for approval prior to the services being provided.

B. The reimbursement of biofeedback is limited to providers currently licensed or certified to provide biofeedback services. Providers include:

1. physicians currently licensed in Louisiana who are certified by or meet certification requirements of the Biofeedback Certification Institute of America;

2. physical therapists and occupational therapists, licensed through the license laws of Louisiana, and biofeedback therapists, certified by the Biofeedback Certification Institute of America, who are employed by physicians. Billings for these biofeedback services provided by these therapists must be submitted by the employer (physician). The appropriate license or certification number must be placed in Item 24-K on the HCFA 1500 Billing Form to receive reimbursement for these procedures.

C. Biofeedback training procedures must be billed under the appropriate procedure codes listed in the CPT (90900-90915) or PT260, PT265 or OT260, OT265.

D. Reimbursement for biofeedback training is limited to 12 visits. One or more procedure may be provided during a visit if medically necessary and included in the approved plan of care.

La. Admin. Code tit. 40, § I-5131

Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.