Can CPT code 97124 and 97140 be billed together?
Can CPT code 97124 and 97140 be billed together?
Codes 97124 and 97140 should not be used to bill for activities within the same session. Most of us could not distinguish when our therapist transitioned between the techniques used in 97124 to the techniques used in 97140 and vice versa.
What does CPT code 97124 mean?
CPT® procedure code 97124 describes the work inherent in massage, which is a separate and distinct service from CMT codes 98940-98943. CPT® code 97124 describes work including effleurage, petrissage and/or tapotement (stroking, compression, percussion), each 15 minutes.
What CPT code is 97140?
Therefore, procedure code 97140 describes ‘hands-on’ therapy techniques. Typically, the goals of manual therapy are to modulate pain, increase joint range of motion, and reduce or eliminate soft tissue swelling, inflammation, or restriction.
What modifier is needed for 97124?
-59
When billed on the same visit as a chiropractic manipulative treatment code (98940-98943), carriers often require the -59 (or XS) modifier appended to the 97124 code to clarify that it’s a distinct and separate procedure being performed in a body region different from the adjustment.
Does 97124 need a modifier?
CPT 97124 describes work including effleurage, petrissage, and/or tapotement (stroking, compression, percussion) and is based on each 15 minutes of treatment per unit. When using this code on the same day as a CMT code service, it may be necessary to append a modifier-59 (Distinct Procedure).
Does 97140 need a modifier?
CPT code 97140 is appended with the modifier -59 or the appropriate –X modifier.
Is 97140 a physical therapy Code?
97140 Manual Therapy: Includes soft tissue mobilization, joint mobilization, manipulation, manual traction, muscle energy techniques (performed using resistance applied by PT), and manual lymphatic drainage. You can also consider muscle energy techniques as part of the neuromuscular re-education code.
Can chiropractors Bill 97124?
Now chiropractors must be paid for neuromuscular reeducation (97112), massage (97124), and manual therapy (97140) when “performed on separate anatomic sites or at separate patient encounters on the same date of service as a chiropractic manipulative treatment (98940—98942).” This was perhaps the biggest reimbursement …
Does Medicare cover CPT code 97124?
Services that do not meet the requirements for covered therapy services in Medicare manuals are not payable using codes and descriptions as therapy services. To be considered reasonable and necessary, the services must meet Medicare guidelines. …
Is 97140 covered by Medicare?
Also, Medicare NCCI edits categorized 97140 as a component of CMT, unless a modifier (e.g., -59) is used for a different region(s). However, Medicare law prohibits coverage and payment for non-CMT services. Thus, if 97140 is bundled with or into CMT, it would be a violation of Medicare law.
What modifier do I use for 97140?
modifier -59
The 97140 CPT code is appended with the modifier -59 or the appropriate -X modifier.
What modifiers can be used with 97140?
What does 97124 stand for?
CPT code 97140 and 97124 – Massage Therapy and MANUAL THERAPY Therapeutic Massage Therapy (CPT code 97124) Massage is the application of systemic manipulation to the soft tissues of the body for therapeutic purposes. Manual Therapy (CPT code 97140)
Is 97124 covered by Medicare?
When billing for the Medicare Demonstration Project (MDP), you must file MDP- covered services on a … If a physician or PT … If you bill manual therapy techniques (97140), massage (97124), or neuromuscular reeducation (97112) on.
What does CPT code 97112 include?
What does CPT code 97112 mean? CPT ® 97112 : Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception. Examples include, Proprioceptive Neuromuscular Facilitation (PNF), Feldenkreis, Bobath, BAP’S Boards, and desensitization techniques.
