Naturopathic Code(s)

[williamportor]

Hello - I've recently rebilled 1 line item for a Naturopath that Blue Cross refuses to pay on. It is: 98926 (Medicine / osteopathic manipulative treatment) This code was paid on in the past, but now it does not pay. The EOB says: This should be billed with the appropriate code for these services. May I ask...how does one find the "appropriate code" for these services?? I've called customer service multiple times, and they said they do not give out coding advise. Any suggestions?

[Michele]

What dx codes were on the line?

[williamportor]

What dx codes were on the line?

The codes used were: G47.00, R09.81, M54.30, M25.551, M25.552, M54.50 / As I said, one or more of these codes were "inconsistent" with procedure code 98926 according to the insurance co. Should one or more of these be left out? Is a modifier needed? The insurance co. won't say. Any suggestions would be welcome.

[Michele]

For Osteopathic Manipulation you must use dxs in the M99.01-M99.09 range.  I believe that is the issue.

[williamportor]

For Osteopathic Manipulation you must use dxs in the M99.01-M99.09 range.  I believe that is the issue.

Thank You. Much appreciated!