2013 cpt code book pdf Current Procedural Techniques or CPT Codes are the codes that you need to describe your massage services to insurance companies. Mobilization, manipulation, manual lymphatic drainage, manual traction, one or more regions. One or more areas, Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture and proprioception.
What code you use depends on what training you have and what codes the insurance company will allow. You choose the code that best describes your training and skills. Insurance companies usually pay different rates for different codes but you should not pick a code just because you will get paid more. Because most of these codes are timed codes, you also must include in your chart notes the amount of time you spent on each area. When only one service is provided in a day, providers should not bill for services performed for less than 8 minutes. For any single timed CPT code in the same day measured in 15 minute units, providers bill a single 15-minute unit for treatment greater than or equal to 8 minutes through and including 22 minutes. If the duration of a single modality or procedure in a day is greater than or equal to 23 minutes through and including 37 minutes, then 2 units should be billed.
97124 or 97140 meaning you might not be able to bill a separate fee for this service. If you are paid for using an improper code, it doesn’t necessarily mean it is acceptable. You are responsible for billing the proper codes. Once in awhile you may find a company that will pay for those. It is still not clear whether a massage therapist is able to use those codes.
Codes are not restricted to one group of providers. Some try to say that the codes listed above are physical therapy codes. Any procedure code may be used by a qualified provider. To learn more about billing see my book : Insurance Billing 101 for Massage Therapists. It is important for more massage therapists to start billing insurance for medically based treatments.
In Hawaii, they allow us to use ONLY 97124. Of note, under Florida PIP Law, massage therapy is a non-covered benefit, and furthermore, any services rendered by a licensed massage therapist is non-covered . There are many laws and rules in each state and with each plan that you have to be aware of. FL MTs got their PIP billing rights yanked from them a couple of years ago via change in billing laws. Too many were taking ill advantage of the opportunity to bill and abusing their rights. I would like to know how to billing Mi. I looked up massage therapist was not listed.
A measure of inequality, which are popular with local residents. The ministry of health of Russia ordered in 1997 to transfer all health organizations to ICD, archived from the original on 29 April 2016. Sweden since 1 January 2009 according to a decision by the present Director General of The National Board of Health and Welfare, the large scale realignment of individual diagnostic and procedural codes demanded close analysis of the impacts to existing indicators of healthcare delivery. Much of the produce is handled through the Port of Cape Town or Cape Town International Airport.
Hi Julie, I’m wondering about the 8 minute rule for LMPs in Washington state. Most everything is still based on the CMS billing practices even though they don’t cover massage. Would you please share a link from the AMA website where these codes and Medical Massage or at least Massage is mentioned? I tried to reference their website and the information is unavailable. I have a private pay client who I am working with to try and get their insurance company to assist in the cost.
They say what I listed above. The insurance companies know these codes. You can use any code look up site. What will validate massage therapy is showing that massage works by charting functional outcomes and results. You need to show that massage can help resolve pain and injuries with SOAP notes. Here in KY, we can bill for MVA, workman’s comp and disability. FL can’t bill PIP because of a restriction put on them a few years ago with some new law there.