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Medicare Chiropractic Billing

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kmoore:
Hello Michelle,
Haven't posted in a while but had a question, have our first Medicare patient and have been reading your posts and wanted to make sure I submit these claims correctly.
I have dx codes of 739.1, 739.2, 721.0 & 781.92 using cpt codes 99202-25, 98940-AT, 97012-GP & S9090
Is this correct on the codes and modifiers?
Thanks for the help, also is there a medicare manual or something that I can get ahold of with answers to the codes they accept and modifiers to use?
Thanks
Kim

Michele:
The only thing I can see a problem with is the order of the diagnoses.  You must have a 739 code primary, but you can't also have a 739 in the second spot.  I would do the order as:  739.1, 721.0, 739.2, 781.92.


Michele

catooch:
Micelle,

Why is it you cannot have two 739 codes in a row?

Cathy

Michele:
Medicare requires that you use a 739 primary, but they require one of the diagnoses on there list of approved secondary diagnoses.  They don't allow a 739 code secondary, but you can use them in the 3rd or 4th spot.

Michele

kmoore:
Michelle,
Is there a way I can get ahold of a list of dx codes that Medicare needs to have used and the order that they need them on the claims?
Thanks
Kim

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