Medical Billing Forum
Coding => Coding => : Trisha Reyes December 27, 2008, 01:54:03 AM
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Hi Michele,
I am biling for a chiropractor, pt diagnosis are 722.10, 739.1, 739.2, and 719.55. The cpt codes are 98941AT, GP97012, GP97110, and 97140AT. I am billing to medicare (TX), what is the best way to bill the codes for maximum reimbursment for the Dr. ? My understanding is that the diagnosis codes should be:739.1, 722.10, 739.2, 719.55, and I think that the cpt codes may be ok the way they are? Is this correct?
Thank you,
Trisha
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The diagnoses should be fine. The procedure codes also look ok, but the GP modifier goes after the cpt (I wasn't sure if that was just a typo). Medicare will only reimburse the 98941 code. That is all Medicare allows DC's to be reimbursed for.
Michele
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what about the order of the diagnosis codes, should the order be different if they are of the same importance so medicare will allow a higher number of visits and is the primary diagnosis supposed to be specific diagnosis to be considered for payment ?
Thank you,
Trisha
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The order that you have them in is the right order. You must have a 739.x code in the primary spot, and a valid 2ndary in the 2ndary spot. The 2ndary dx is the one that determines the number of visits that will be allowed.
Michele