How to Appeal a Denied PT Claim: A Step-by-Step Guide for 2026
Published on: 02/11/2026
A step-by-step guide to appealing a denied physical therapy claim: when to appeal, the five Medicare appeal levels, deadlines and what to include.
Plain-English guides on Medicare rules, claim denials and revenue for PT practice owners, billers and clinicians.
A step-by-step guide to appealing a denied physical therapy claim: when to appeal, the five Medicare appeal levels, deadlines and what to include.
Top reasons physical therapy claims get denied, from eligibility and authorization to coding and documentation errors, and how to fix and appeal them.
How the Medicare 8-minute rule works in PT billing: unit chart, timed vs untimed codes, worked examples and common mistakes.