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Attention providers:
The Health Care Authority (HCA) has published a revised Outpatient Rehabilitation Billing Guide, effective January 1, 2025.
The following revisions were made to the guide:
- Changed the age limit for children with disabilities from age two or younger to age six or younger for outpatient rehabilitation as part of an outpatient treatment program. This change aligns with newly revised WAC 182-545-200.
- Removed “By Report (BR)” for CPT® codes 97750-97552. The rates for these codes are listed in the Outpatient Rehabilitation Program Fee Schedule.
See the What has changed? table in the revised guide for further details.
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