FAQ: How To Bill Insurance For Massage?


What modifier do I use for massage therapy?

Modifier “-59” & 8-Minute Rule According to the National Correct Coding Initiative (NCCI), massage therapy (97124) and manual therapy (97140) are considered to be linked, meaning if one of these codes is billed, only one payment may be received despite two services being provided.

How do you code massage therapy?

What Are the Specific CPT Codes that Massage Therapists Can Use?

  1. CPT Code 97124 Massage Therapy.
  2. CPT Code 97140 Manual Therapy.
  3. CPT Code 97112 Neuromuscular Re-education.
  4. CPT Codes 97010 Hot/Cold Packs.
  5. CPT Codes 97110 Therapeutic Exercise.

Can CPT code 97110 and 97140 be billed together?

Count the first 30 minutes of 97110 as two full units. Compare the remaining time for 97110 (33-30 = 3 minutes) to the time spent on 97140 (7 minutes) and bill the larger, which is 97140. 1. Restricted to one procedure per date of service (cannot bill two together for the same date of service.)

How do you bill for cupping therapy?

Some providers have reported success with billing for cupping using CPT code 97139 (Unlisted Therapeutic Procedure).

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What is the 8 minute rule?

A therapist must provide direct one-to-one therapy for at least 8 minutes to receive reimbursement for a time based treatment code. When only one service is provided in a day, you shouldn’t bill for services performed for less than 8 minutes.

What is the ICD 10 code for massage therapy?

ICD – 10 -PCS 8E0KX1Z is a specific/billable code that can be used to indicate a procedure.

What does CPT code 97112 mean?

CPT ® 97112: Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception. Neuromuscular re-education is intended to be performed with one- on -one patient contact.

What CPT codes Cannot be billed together?

The same holds true for billing 97140 with 95851, 95852, 97164, 97168, 97018, 97530, or 97750. However, you can never bill 97124 with 97140—and you cannot add any modifier to change this restriction, because these codes are mutually exclusive procedures, according to CMS.

What does CPT code 97140 mean?

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 is the modifier for 97140?

CPT code 97140 is appended with the modifier -59 or the appropriate –X modifier.

How do you desensitize a bill?

Use CPT procedure code 95180 (rapid desensitization ) when sensitivity to a drug has been established and treatment with the drug is essential. This procedure will also require frequent monitoring and skin testing. The number of hours involved in desensitization must be reported in the unit field.

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What are always therapy codes?

Effective April 1, 2020 According to CMS, certain codes are ” Always Therapy ” services regardless of who performs them and always require a therapy modifier (GP, GO, or GN) to indicate that they are provided under a physical therapy, occupational therapy or speech-language pathology plan of care.

What is the GP modifier?

The GP modifier indicates that a physical therapist’s services have been provided. It’s commonly used in inpatient and outpatient multidisciplinary settings. It’s also used for functional limitation reporting (FLR), as physical therapists must report G-codes, severity modifiers, and therapy modifiers.

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