CPT^® 98927, Under Osteopathic Manipulative Treatment Procedures

The Current Procedural Terminology (CPT^®) code 98927 as maintained by American Medical Association, is a medical procedural code under the range - Osteopathic Manipulative Treatment Procedures.

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Summary

The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.

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CO 45

Payment was made for the office visit. 99213 (25), 98927. I am unable to upload the EOB... [ Read More ]

Unbundling

I came across where the patient came in for his annual physical 99396 which i billed out and insurance processed and paid. But then came in and recouped because on the same day he went upstairs to ou... [ Read More ]

OMT Regions

Hoping someone can answer this question regarding regions manipulated. The short version is, provider documented that 5 regions were manipulated: Cranial, soft tissue technique; Cervical, soft tissu... [ Read More ]

98927

Has anyone had problems getting paid on E/M codes with a 25 modifier billed with 98927? Cigna is saying even with a 25 modifier the E/M is not being paid.... [ Read More ]

OMT(OMM) medicare billing

We have a new provider that is doing OMT (OMM) and many of his patients are Medicare. We are Rural health so everything gets bundled into a one line item. If Medicare usually doesn't cover OMT, do we... [ Read More ]

Denied N572

As anyone received this denial yet? I have a DO billing 99212-25, 98927, 97112GP and they are getting denied with that code from Noridian. Some are deneid some are paid. Any advice?... [ Read More ]

Osteopathic Coverage Limited?

So I billed Zoom Care insurance, a new urgent care clinics popping up all over oregon who I guess also sells insurance. I work for a DO and we specialize in Osteopathic Manipulation. So patient came i... [ Read More ]

Osteopathic Manipulation Denials

[QUOTE="jlobianco03@gmail.com, post: 217569, member: 120753"]My OMT claims have been denying with reason [I]"number of spinal/body regions within dx submitted does not correlate to the number of regio... [ Read More ]

Osteopathic Manipulation Denials

My OMT claims have been denying with reason [I]"number of spinal/body regions within dx submitted does not correlate to the number of regions described in the procedure[/I]". My question is directed t... [ Read More ]

-59 modifier

CCI edits, 96372 is bundled with 98927 but a modifier is allowed. Laura, CPC, CEMC... [ Read More ]

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