What modifier is used for 97140?

What modifier is used for 97140?

modifier -59
The 97140 CPT code is appended with the modifier -59 or the appropriate -X modifier.

What is the difference between 97140 and 97530?

In “Example 9” from that document, CMS lists 97140 (manual therapy) and 97530 (therapeutic activities) and explicitly states that: For example, one service may be performed during the initial 15 minutes of therapy and the other service performed during the second 15 minutes of therapy.

Is 97140 a chiro code?

Per CPT® guidelines, 97140 describes manual therapy techniques, such as mobilization and manipulation, manual lymphatic drainage, and manual traction. Chiropractic adjustments have their own set of codes (98940-98942, or 98943 for an extremity). He then performs manual therapy (97140) to the same cervical region.

Does 97140 need a GP modifier?

Any PT now billed to Anthem will require the GP modifier. Note this modifier may be in addition to other modifiers that may be necessary such as 59 or XS on 97112, 97124, or 97140, Note the order of the modifiers is not critical but that both must appear.

Can chiropractors Bill 97140?

American Medical Association (AMA) coding guidelines dictate that it is only appropriate to bill for Chiropractic Manipulative Treatment (CMT) and manual therapy (CPT code 97140) for the same patient on the same visit under certain circumstances.

Can you bill multiple units of 97140?

Appropriate billing is for one unit. The qualified professional (See definition in Pub. 100-02/15, section 220) shall select one appropriate CPT code (97112, 97110, 97140) to bill since each unit was performed for the same amount of time and only one unit is allowed.

What is infusion billing?

Infusion billing is mainly about billing for the time a patient is being infused. Examples for total billable infusion time as documented: 14 minutes, billable only as a single IV Push (<15 minutes) 16 minutes, billable for 1 hour of infusion.

Is CPT 97140 covered by Medicare?

Also, Medicare NCCI edits categorized 97140 as a component of CMT, unless a modifier (e.g., -59) is used for a different region(s). However, Medicare law prohibits coverage and payment for non-CMT services. Thus, if 97140 is bundled with or into CMT, it would be a violation of Medicare law.