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Chiropractor coding

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kmoore:
Hello,

I have a Dr that is doing decompression on a patient and also using cold lazer therapy.  He is using the code for manipulation for the decompression but if he is also doing an adjustment he wants to use the same manipulation code for that one also.  Can he use the same manipulation code for the same visit twice and just point them to two different dx codes? And can he also use the infared code for the cold lazer therapy?  This is for a UHC patient.

You guys are a huge help,  thanks in advance for all the help you give, I'd be lost without this forum.

Thanks
Kim

Michele:
Hi,
   
    You can't bill for two manipulations on the same day.  The codes specify the regions, so if he were to bill for 98941 two times, they would say you should have coded it as a 98942, and possibly a 98943. 

There is not a specific cpt code for decompression therapy yet.  Many recommend billing it using S9090 or 97039 or 97139 or 97799.  I have also seen it coded as 97012.  Most insurances do not cover it since they still consider it experimental. 

The same is true for the cold laser therapy.  I have seen it billed as 97112 or 97140 but I haven't had any direct experience.

Hope that helps!

Michele

kmoore:
Michele,

So can he bill for two 97012 in the same day once for intersegmental traction (which is the accepted code) and then again for decompression?

Thanks,

Kim

Michele:
You could try that, indicating the different diagnosis.  Or you could bill it with a 2 in the units, and double price.

Michele

kmoore:
Michele,

I also have a patient that he is using dx code 847.0,  what modifier do I need with that one on the CPT Codes being used of 98940, 97012, 97014, 97026, & 97010.  I have the chiropractic Billing Made Easy manual from your website but not sure still on modifiers yet.

Thanks
Kim

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