CMS has announced that the CY 2013 Medicare outpatient therapy limit is $1900 for physical therapy (PT) and speech-language pathology (SLP) combined and $1900 for occupational therapy (OT). CMS also has updated the Medicare Claims Processing Manual and the Medicare Benefit Policy Manual to implement the Middle Class Tax Relief and Jobs Creation Act’s (MCTRJCA) claims-based data collection requirement for outpatient therapy services. Specifically, regulations issued pursuant to the MCTRJCA require the reporting of 42 new nonpayable functional G-codes and 7 new modifiers on claims for PT, OT, and SLP services. These G-codes and related modifiers are required on all claims for outpatient therapy services furnished under Medicare Part B after the effective date – not just those over the therapy caps. While this functional data reporting and collection system is effective for therapy services with dates of service on and after January 1, 2013, CMS is designating a testing period for providers from January 1, 2013, through June 30, 2013 during which claims without G-codes and modifiers will be processed.