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Trigger PT therapy 97140?
oneround:
Please remember df, Dr's documentation has to support the 59 mod
97140, Manual therapy techniques (eg), mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes, separately when chiropractic manipulation techniques (CMT)–– CPT codes 98940-98943––are provided at the same session? AMA Comment: From a CPT coding perspective, CPT code 97140 is not intended to include CMT. The appropriate CMT procedure code(s) should be reported for those manipulation techniques. Since it is possible that manual therapy technique(s) may be required in addition to CMT procedure(s), it is appropriate to additionally report the manual therapy technique(s) (based on 15-minute intervals of service). For example, manual traction is performed to treat a cervical spine injury and on the same day the chiropractor also performs chiropractic manipulation to the lumbar region. Therefore, code 97140 with modifier 59 and code 98940 should be
reported.
" CPT® Assistant February 1999 Volume 9 Issue 2 "Question Can my doctor report the new CPT code 97140 for manual therapy techniques, when he performs a chiropractic manipulative treatment (CMT), or has this code been developed for use by physical therapists and occupational therapists only? AMA Comment Code 97140 Manual therapy techniques (eg, mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes, does not describe chiropractic manipulative treatment. Chiropractic manipulation (CMT) is described by codes 98940 - 98943. From a CPT coding perspective, in certain circumstances it may be appropriate to report CMT or osteopathic manipulative treatment (OMT) procedures and CPT code 97140. For example, if separate body regions are being addressed by different techniques, then it is appropriate to report these services separately. For example, a patient has severe injuries (such as an auto accident) with a neck injury that contraindicates CMT in the neck region. Therefore, the provider performs manual therapy techniques (as described by CPT code 97140) to the neck region and CMT to the lumbar region. In this case, it would be appropriate to report CPT codes 97140 and 98940. In this example the -59 modifier would be used to indicate that a distinct procedural service was provided. " CPT® Assistant February 1999 Volume 9 Issue 2 "Question Can the new code 97140 (manual therapy techniques) be reported in conjunction with the chiropractic manipulative treatment (CMT) codes (98940 - 98943)? AMA Comment It would not be appropriate to report code 97140 and the CMT code when provided to the same region. However, under certain circumstances, it would indeed be appropriate to report code 97140 and a code from the 98940 98940 98941 98942 - 98943 series to describe the treatment provided. For example, a patient may have severe injuries that contraindicate CMT to the neck region, therefore, the provider performs other manual therapy techniques (as described by code 97140) to the neck region. CMT is provided to the lumbar region. In this case it would be appropriate to report code 97140 for the therapy to the neck, and code 98940 for the CMT to the lumbar region. The –59 modifier would appended to indicate that distinct procedural services were provided. "
Also, you may already be aware but just in case a good chiro source is chirocode.com. Hope this helped and if there is something I can take home with this please share
dfranklin:
Thank You!!!
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