Medical Billing Forum

General Category => General Questions => Topic started by: epplee45 on August 19, 2009, 03:39:02 PM

Title: Billing Coding
Post by: epplee45 on August 19, 2009, 03:39:02 PM
Hi  I have a problem with billing code 98941 and 98940 Blue Cross states not covered  How would bill for chiropratic office visit? :-\ :-\
Title: Re: Billing Coding
Post by: Pay_My_Claims on August 19, 2009, 05:23:47 PM
it might not be how you are billing, but if it is a covered service or not. did you verify the benefits??
Title: Re: Billing Coding
Post by: epplee45 on August 19, 2009, 07:13:51 PM
Yes the patient has coverage  they allow for ultrasound and electric stim but not the office visit
Title: Re: Billing Coding
Post by: Michele on August 20, 2009, 06:37:02 AM
That doesn't sound right.  If they allow a DC to bill for the ultrasound and electric stim they should allow the manipulation.  It sounds more like you are just not billing the 98940 or 98941 the way they want it.  For example, they may require a modifier, or maybe they don't all the manipulation (98940-98942) codes.  I would contact the provider rep for your area and ask them to first check to see if the patient's coverage allows chiropractic benefits and if so, what codes do they allow them to bill for and what are the rules regarding the billing.

Michele