chiropractic

  1. L

    Wiki Chiropractor billing 97530 and 97116

    The new chiropractor I’m working for wants to start billing for 97530 and 97116. Are these codes chiropractors can bill for? We don’t have a physical therapist on staff. I’ve tried looking around for guidelines on my own and haven’t had much luck.
  2. A

    Wiki Chiropractic NP E&M coding

    I have been having denials on claims with both 99203 or 99202 and 98941. This is not always the case. When I get it sent for review as both procedures being separate and distinct procedures, I am 50% on my success rate at getting it paid. I often get referred back to NCCI. This is all I can...
    • AMYDAWN90
    • Thread
    • 98941 99202 99203 chiropractic e&m coding new patient e&m spinal manipulation
    • Replies: 0
    • Forum: Chiropractic
  3. L

    Wiki Different reimbursements for low back pain dx code for chiropractic

    Hi everyone, A chiropractor I work with and do billing for mentioned to me today that a friend of his in New York was told there is a higher reimbursement when using code M54.50 as opposed to M54.51 when coding for low back pain. Has anyone else had this experience? I am based in New Jersey and...
  4. kdabis808

    Wiki CHIROPRACTOR THERAPY BILLING: 98940 & 97140-59 (2 UNITS)

    Hello, I recently started billing for a new chiropractor therapy practice. I also do billing for another chiro; he bills 98940 & 97140-59 and gets paid just fine by this one payor. But the new chiro, bills 98940 and 97140-59 (2 units --30 mins thats why); and her's gets rejected as bundling...
  5. J

    Wiki DME codes for chiro billing

    Anyone familiar with billing DME? L0113 says the service type is lump sum purchase of dme, prosthetics, orthotics, but E0480 has rental of dme. L0113 Cervical Orthotic This is a tool that will be used during a passive exercise to help restore to the proper lordosis in the patient's cervical...
  6. F

    Wiki Recoupment for Out Of Network

    Hello to all, this is my first time asking a question on here. Please be kind. I work in a Multi specialty out of network office. We do both Chiro and Medical. Question is, Are insurance companies take a recoupment back from future pt payments, or can they only send the request and have to wait...
  7. K

    Wiki ICD-10 Wellness Code Advice Needed

    In Chiropractic and PT, many patients elect to continue care, paying out of pocket and most often, providers are directed to use HCPCS code S8990 to describe that service. We have always been counseled to use one of the following, non-payable, generic ICD-10 code: Z00.00 "encounter for general...
    • kittychang
    • Thread
    • chiropractic icd-10 physical theraly s8990 wellness
    • Replies: 2
    • Forum: ICD-10
  8. S

    Wiki Charging Medicaid Pts for Chiro visits exceeding the coverage limit?

    In California, there is a twice monthly limit on covered benefits for Chiro. If a Medi-Cal (Medicaid) Pt wants additional visits of the sort, are we allowed to chage them? I know that we can charge for uncovered benefits and we frequently do, in dental, particularly. But these are covered...
  9. S

    Wiki Help! The VA is a nightmare

    Since Healthnet has taken over in North Carolina, there is no reasoning to which modifer they want and when. Does anyone have any guidance on what Healthnet is seeking when dealing with VA claims specific to physical therapy and chiropractic? Thanks all!
    • sherifrost
    • Thread
    • chiropractic coding physical therapy veterans administration
    • Replies: 2
    • Forum: Modifiers
  10. A

    Wiki New CPT Codes for 2016?

    Hi, I was wondering if anyone had any websites listing new CPT codes for 2016? Thanks!
  11. M

    Wiki Vibration Therapy

    My doc and I are having trouble finding a code for vibration therapy. I'm in a chiropractic office. The only codes we can come up with are unlisted procedure codes (such as 97139 or 97039). The vibration therapy I'm talking about is by a vibration platform, does not require constant attendance...
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