- 1 What does CPT code 98940 mean?
- 2 What does CPT code 98943 mean?
- 3 Does CPT code 98941 need a modifier?
- 4 Can a chiropractor use GP modifier?
- 5 What is procedure code 97110?
- 6 What is procedure code 97535?
- 7 What does CPT code 97012 mean?
- 8 What does CPT code 99211 mean?
- 9 What does CPT code 99213 mean?
- 10 What is the 59 modifier?
- 11 Can chiropractors Bill E M codes?
- 12 What is the AT modifier used for?
- 13 What does KX modifier mean?
- 14 What is the GP modifier?
- 15 What is the modifier for 97110?
What does CPT code 98940 mean?
CPT Code 98940 – Chiropractic manipulative treatment (CMT); spinal, 1-2 regions.
What does CPT code 98943 mean?
CMT code 98943 is used to report chiropractic manipulation of one or more of the extra-spinal regions (head region; lower extremities; upper extremities; rib cage; abdomen).
Does CPT code 98941 need a modifier?
When providing maintenance therapy, no modifier is required when billing procedure codes 98940, 98941, or 98942. The AT modifier must not be placed on the claim when maintenance therapy has been provided. Claims without the AT modifier will be considered as maintenance therapy and denied.
Can a chiropractor use GP modifier?
Medicare also requires the GP modifier for physical medicine codes; however, since Medicare does not cover physical medicine services when rendered by Doctors of Chiropractic, your billed physical medicine services would include both the GP and GY (non-covered service) modifiers.
What is procedure code 97110?
CPT code 97110 is defined as “therapeutic exercises to develop strength, endurance, range of motion and flexibility.” It applies to a single or multiple body parts, and requires direct contact with a qualified healthcare professional.
What is procedure code 97535?
97535 CPT Code Description: Self-care/home management training (e.g., activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes.
What does CPT code 97012 mean?
From a CPT ® coding perspective, 97012 is a physical medicine mechanical traction modality that does not require attendance.
What does CPT code 99211 mean?
CPT defines this code as an “office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician.” It further states that the presenting problems are usually minimal, and typically five minutes are spent performing or supervising these services.
What does CPT code 99213 mean?
CPT Code 99213: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and a low level of medical decision making.
What is the 59 modifier?
Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances.
Can chiropractors Bill E M codes?
In general, it is inappropriate to bill an established office/outpatient E / M CPT code (99211-99215) on the same visit as Chiropractic Manipulative Treatment (CPT code 98940-98943) because CMT codes already include a brief pre-manipulation assessment.
What is the AT modifier used for?
The Active Treatment (AT) modifier was developed to clearly define the difference between active treatment and maintenance treatment. Medicare pays only for active/corrective treatment to correct acute or chronic subluxation. Medicare does not pay for maintenance therapy.
What does KX modifier mean?
Modifier KX Use of the KX modifier indicates that the supplier has ensured coverage criteria for the billed is met and that documentation does exist to support the medical necessity of item.
What is the GP modifier?
The GP modifier indicates that a physical therapist’s services have been provided. It’s commonly used in inpatient and outpatient multidisciplinary settings. It’s also used for functional limitation reporting (FLR), as physical therapists must report G-codes, severity modifiers, and therapy modifiers.
What is the modifier for 97110?
The CQ modifier is applied to both units of 97110 if the PTA furnished 4 or more minutes. Percentage method: Add the PTA and PT minutes together to get 26 minutes (14 +12=26).