Billing > Billing

Chiropractor coding

<< < (2/2)

Michele:
If you are not billing Medicare (which I'm assuming you're not based on the diagnosis) then you don't need any modifiers on those codes. 

Thanks for the kind words.  That's why we do this.  :)

Michele

kmoore:
Michele,

When I hit submit on my software it is saying that Condition Related to Code A,O or E required if primary ICD-9 is 800.00 - 995.0.

Do you think this is a glitch in the software or something?

Thanks

Kim

Michele:
Because the diangosis indicates that there may have been an accident involved it is asking you if it is related to an (A)ccident, (E)mployment, or (O)ther.  I'm not sure what software you have.  It shouldn't be a requirement that you fill in that field since not all injuries are the result of an accident.  If you can't get around it I would indicate other, unless it was workers comp or no fault.

Michele

kmoore:
Michele,

On this 847.0 dx code which cpt code do I need to apply that modifier O to just the manipulation code of 98940 or all the cpt codes? and what if there are other modifiers on the cpt codes? and if I need just the modifier on code 98940 then do I just point to the one dx code or all of them?

help

Thanks
Kim

Michele:
I'm not sure if you had a typo, or if you are asking if you need to put a modifier "O" on the line.  I've never heard of a modifier "O". 

For Chiropractors, the modifier usually needed is the "AT" modifier for Medicare.  Medicare only allows the manipulation codes - 98940-98942, so the AT modifier must be on those.  We put the AT modifier on all charges billed to Medicare but it's mostly out of consistency. It doesn't have to be on the charges that Medicare doesn't allow, since they are not going to be paid anyway. 

Sometimes the "59" modifier is used on modalities to indicate separate procedure, but that is about all I usually see. 

As far as the diagnosis pointers, you should be pointing all diagnoses that are appropriate to each procedure.  The modifier wouldn't affect that. 

Let me know if you meant something else.

Michele

Navigation

[0] Message Index

[*] Previous page