Question: What does CPT code 97140 mean?

Therefore, procedure code 97140 describes hands-on therapy techniques. Manual therapy techniques may be performed on individuals with symptoms that may include a limited range of motion, muscle spasm, pain, scar tissue or contracted tissue and/or soft tissue swelling, inflammation or restriction.

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.)

Is CPT 97140 massage therapy?

The CPT codes massage therapists can use without question are: 97010 - hot and cold packs; 97124 - massage; and 97140 - manual therapy. 97112 is not the code for neuromuscular therapy; use 97140 instead. The codes may change from year to year.

Is 97140 a chiropractic code?

Based on the ACAs (American Chiropractic Association) knowledge of the development and valuation process for CPT codes 97140 and chiropractic manipulative treatment codes, their stance is that CPT code 97140 is an independent procedure when provided to a different anatomic region than the procedure described as ...

What CPT code replaced 97140?

Code 97140 is time -based [15 minutes] and replaced codes 97122-manual traction; 97250-myofascial release / soft tissue manipulation; 97260-61 -spinal manipulation; and 97265-joint mobilization.

What CPT codes Cannot be billed together?

An example of a “permanent and non-bypassable” code combination (codes that cant be billed together, even with a modifier) is: 97001 (Physical Therapy Evaluation) and 97002 (Physical Therapy Re-Evaluation)

Can 97164 and 97140 be billed together?

As of January 1, 2020, the National Correct Coding Initiative (NCCI) has stated that if you bill an initial evaluation code (97161, 97162, 97163) or a re-evaluation code (97164) on the same date of service for the same patient as CPT code 97140 (Manual therapy), you MUST affix modifier 59 to 97140 in order to receive ...

Who can bill CPT 97140?

If you are in network, you have agreed to Aetnas policies (through your contracts), and youll most likely need to write off reimbursement for 97140. In-network providers cannot bill the patient. Out-of-network providers can bill the patient, if necessary.

Can 97530 and 97140 be billed together?

In “Example 9” from that document, CMS lists 97140 (manual therapy) and 97530 (therapeutic activities) and explicitly states that: “Modifier 59 may be reported if the two procedures are performed in distinctly different 15 minute time blocks. Alternatively, the therapy time blocks may be split.

Does 97140 need a GP modifier?

Anthem has updated its professional reimbursement policy. Any PT now billed to Anthem will require the GP modifier. Note this modifier may be in addition to other modifiers that may be necessary such as 59 or XS on 97112, 97124, or 97140, Note the order of the modifiers is not critical but that both must appear.

What does CPT code 97112 mean?

neuromuscular reeducation of movement CPT 97112 means “neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities.” Like therapeutic activity, therapeutic procedures also apply to one or multiple body parts and require direct contact with the proper provider1.

What can be billed under 97535?

97535 CPT code represents self-care/home management training including (e.g., activities of daily living (ADL) training, compensatory training, going over safety procedures/instructions, meal preparation, and use of assistive technology devices or adaptive equipment.

Can 97535 and 97530 be billed together?

Does CPT Code 97535 Need a Modifier? The CPT code combinations 97530 (Therapeutic Activity) and 97535 (ADL) requires Modifier 59 to enable the codes to be billed individually on the same day.

Does 97140 need a modifier?

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

Can 97012 and 97140 be billed together?

In keeping with our example, beginning July 1, 2019, providers will be able to append the 59 modifier on either of the two CPT codes. Whether its 97012 or 97140, by appending the 59 modifier, you will ensure that you receive reimbursement for both services.

Can 97530 and 97535 be billed together?

Does CPT Code 97535 Need a Modifier? The CPT code combinations 97530 (Therapeutic Activity) and 97535 (ADL) requires Modifier 59 to enable the codes to be billed individually on the same day.

Can acupuncturists use GP modifier?

GP is the most appropriate for acupuncture claims, as it aligns with the therapy provider “physical therapy”. Medicare does not pay acupuncture providers for therapy; however, GP is a necessary modifier to assure a proper denial for a secondary payer to make payment.

What modifier is needed for 97140?

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

When should a modifier 59 be used?

Modifier 59 is used appropriately for different anatomic sites during the same encounter only when procedures which are not ordinarily performed or encountered on the same day are performed on different organs, or different anatomic regions, or in limited situations on different, non-contiguous lesions in different ...

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