What modifier is required with 97140?

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

Does CPT code 98940 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.

What is included in CPT 98940?

CPT Code 98940 Chiropractic manipulative treatment (CMT); Spinal, 1-2 regions.

Can 98941 and 97140 be billed together?

The provider treats this patient with a 3-level CMT (lumbar, sacrum, pelvis) and performs manual therapy for ten minutes on the right hamstring muscle. It would be appropriate to bill the following: 98941. 97140-59- 1 unit.

Is 98940 covered by Medicare?

Diagnosis Code Description Medicare Covered Chiropractic Services If the CPT code is 98940, 98941, or 98942 and is billed with one of the following primary diagnosis codes and with modifier AT, then the chiropractic service is covered.

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.

Is CPT 98940 covered by Medicare?

What is a 24 modifier?

Modifier 24 is defined as an unrelated evaluation and management service by the same physician or other qualified health care professional during a post-operative period. Medicare defines same physician as physicians in the same group practice who are of the same specialty.

Can 97140 and 97110 be billed together?

Can CPT Code 97110 And 97140 Be Billed Together? Yes, they can be billed together. CPT 97110 and CPT 97140 can be performed on same day for same patient; instead, it is very common practice to use these codes together on same day.

Does Tricare for Life pay for chiropractic services?

TRICARE doesn’t cover chiropractic care. It focuses on the power of the body to heal itself without the use of drugs or surgery..