Medical Billing Forum

Billing => Billing => Topic started by: dfranklin on February 10, 2010, 05:02:13 PM

Title: 97039 - Laser
Post by: dfranklin on February 10, 2010, 05:02:13 PM
Does anyone know what to use or do for "Laser" Therapy/treatment?  My chiropractor uses 97039 for it but it seems to get denied from just about every carrier we submit it to.  What's weird is I have seen it paid by BCBS and also denied by them for the reason of: "Payment is denied when performed/billed by this type of provider".  Any ideas?

Thanks!

Don
Title: Re: 97039 - Laser
Post by: DMK on February 10, 2010, 05:51:36 PM
We always used 97026 Infrared Light Treatment.  Is this for Cold Laser?  This code worked for us in the past. We no longer have a cold laser so I don't know if the code is accurate currently.  Since 97039 is for an unlisted modality they would usually require documentation for what the modality was.

Dina
Title: Re: 97039 - Laser
Post by: dfranklin on February 11, 2010, 08:13:24 AM
It is Cold Laser and they seem to deny it stating "Payment is denied when performed/billed by this type of provider" so I wasnt sure if it is just because it is a Chiro or if there is a better CPT to use.
Title: Re: 97039 - Laser
Post by: Michele on February 12, 2010, 09:09:51 AM
In my experience it is still considered experimental, therefore not covered by most insurances. 

Michele