Medical Billing Forum
General Category => General Questions => : epplee45 August 19, 2009, 06:39:02 PM
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Hi I have a problem with billing code 98941 and 98940 Blue Cross states not covered How would bill for chiropratic office visit? :-\ :-\
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it might not be how you are billing, but if it is a covered service or not. did you verify the benefits??
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Yes the patient has coverage they allow for ultrasound and electric stim but not the office visit
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That doesn't sound right. If they allow a DC to bill for the ultrasound and electric stim they should allow the manipulation. It sounds more like you are just not billing the 98940 or 98941 the way they want it. For example, they may require a modifier, or maybe they don't all the manipulation (98940-98942) codes. I would contact the provider rep for your area and ask them to first check to see if the patient's coverage allows chiropractic benefits and if so, what codes do they allow them to bill for and what are the rules regarding the billing.
Michele