The physical therapy cap limit for 2016 is as follows:
1. The first cap is $1,960
2. The second cap is $3,700
After you reach the first cap, your physical therapist must convey medical necessity of continued physical therapy services in the medical documentation. As long as continued physical therapy is considered medically necessary by Medicare, further physical therapy treatment will be covered by Medicare. The physical therapy cap restarts in 2017.
If you have any questions, please contact Harbor Physical Therapy at 443-524-0442.