Author Topic: 99455  (Read 18 times)

Chiro Billing Collect

  • Newbie
  • *
  • Posts: 18
99455
« on: December 14, 2017, 03:10:07 PM »
I have two questions regarding NYS Work Comp.

When billing 99455 and x-rays on the same visit, I am assuming the 99455 can not and should not be billed with a modifier because of the additional service?

Also, the form states that compensation for completion of the C-4.3 is the same as a 99245 E&M but I do not see this code on the chiropractic fee schedule. Any ideas what the reimbursement should be? We have always had a set fee and usually receive the full amount.

Thanks!

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4770
    • Solutions Medical Billing
Re: 99455
« Reply #1 on: December 15, 2017, 07:32:42 AM »
The 99455 should not need any modifier if billed with an xray.  Xrays are not usually considered a bundled service.

Are you talking about being reimbursed for the completion of the C4.3 form?  I don't believe they pay for that form to be completed.
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