Just recently, the Federal employee BCBS plans started bundling a spinal manipulation 98941 with 97012. They combine the charge, apply the allowable for 98941 and copay, and pay the balance resulting in an underpayment. They are stating that no separate reimbursement is due. The 97012 does not require a modifier under any circumstance, as far as I know, when billed with a spinal manipulation. Am I missing a recent change? Any thoughts would be greatly appreciated!
Thanks, Marisa