modifier 59
I have a chiropractor friend who is having a problem with her Medicare payments and since I do billing she wanted me to take a look at it. I do not have experience in chiro billing which she knows but...
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Hi Jeanette,Are you referring to a CMT as opposed to a CPT? If so CMT if not in maintenance needs an AT modifier stating they are acute. Medicare only covers spinal manipulations unless you are in a...
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The only codes that Medicare will pay for when done by a chiro are 98940, 98941, and 98942. They have to be billed with the -AT modifier to show that it's acute as opposed to maintenance care.Any...
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Thank you so much for your replies. It makes total sense what you are saying for how claims should be processed for Medicare.The example that you have given me is not what I am seeing at all in the...
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Also, if you are billing a secondary insurance, you can utilize the GP modifier to have Medicare leave and modalities to patient responsibility, and then the secondary insurance (provided that they...
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