Author Topic: Medicare 98940 & 98941 & 98943  (Read 1101 times)

corriejo

  • Newbie
  • *
  • Posts: 5
Medicare 98940 & 98941 & 98943
« on: January 27, 2009, 12:14:36 PM »
Does anyone out there know if it's legal to bill (primarily for Medicare), a 98941 that includes 2 spinal regions and one extremity; since they don't pay for the 98943??

Thanks!

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4705
    • Solutions Medical Billing
Re: Medicare 98940 & 98941 & 98943
« Reply #1 on: January 27, 2009, 01:48:23 PM »
The description of the 98941 code is spinal manipulation 3-4 regions, which means the adjustment has to be done on the spine, not an extremity, by definition.  I would not think you could count an extremity as one of the 3-4 regions.

Sorry! :( 

Michele
« Last Edit: January 27, 2009, 02:26:49 PM by Michele »
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com