Medical Billing Forum

Coding => Coding => : avista April 22, 2008, 04:00:23 PM

: Chiropractic coding
: avista April 22, 2008, 04:00:23 PM

I have a question regading the use of 98943-51 code for extra spinal.  I know this is the correct code and modifier to be billed with a 98940.  However, do I use the same modifier if I am billing it with a 98941.  I can't find any information saying otherwise, but the insurance company is denying.
Thanks for any help

: Re: Chiropractic coding
: Michele April 23, 2008, 12:27:47 AM

The 51 modifier would be appropriate with both the 98940 and the 98941.  The insurance company that is denying must be denying for a different reason, such as a policy exclusion, or specific carrier guideline.  I would call customer service and ask for an explanation of the denial.  Possible even appeal the denial of the charge.

Good luck
Michele