Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 2 - Medical Guidelines
Chapter 51 - Medical Reimbursement Schedule
Section I-5131 - Biofeedback

Universal Citation: LA Admin Code I-5131

Current through Register Vol. 50, No. 9, September 20, 2024

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.

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

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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