Medical Billing Forum

Coding => Coding => : corriejo January 27, 2009, 03:14:36 PM

: Medicare 98940 & 98941 & 98943
: corriejo January 27, 2009, 03:14:36 PM

Does anyone out there know if it's legal to bill (primarily for Medicare), a 98941 that includes 2 spinal regions and one extremity; since they don't pay for the 98943??

Thanks!

: Re: Medicare 98940 & 98941 & 98943
: Michele January 27, 2009, 04:48:23 PM

The description of the 98941 code is spinal manipulation 3-4 regions, which means the adjustment has to be done on the spine, not an extremity, by definition.  I would not think you could count an extremity as one of the 3-4 regions.

Sorry! :( 

Michele