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Annette Posted 1 Year(s) ago
I can't find my original question that I asked about a month ago. I wanted to know if an MD could bill Chiropractic spinal manipulations codes 98940. I thought I was told yes. We are getting rejections for the MD billing 98940 because of the specialty. Is there a modifier or something that I should be using?
SuperCoder Posted 1 Year(s) ago

Hi, you may like to refer to the following link for some clarity on this. Please let us know if you have any further query. Thank you.

http://montebellobilling.com/outsource-medical-billing-services/top-3-reasons-medicare-will-deny-chiropractic-code-98941-and-98940/

Annette Posted 1 Year(s) ago
Can you give me an example of a regional disgnosis code and a regional specific diagnosis code? It says if you are manipulation 3 areas you need 6 diagnosis codes. Thanks!
SuperCoder Posted 1 Year(s) ago

Please find the following link. The section under "Diagnoses Covered" gives good information of the type and number of diagnosis codes required to support chiropractic manipulative treatment CPT. Hope this helps. Thank you.

https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/34009_2/CodingGuidelinesChiropracticServices.pdf

Annette Posted 1 Year(s) ago
Hi, Can you give me an example ICD10 code of a secondary diagnosis code from Categories I, II or III? I can't find anything information on what that is. Thanks!
SuperCoder Posted 1 Year(s) ago

The secondary diagnoses are the supporting codes which basically represent the cause of subluxation. There are few examples as follows: One of the most common Category I code is 723.1 Cervicalgia, the GEM being M54.2 Cervicalgia. An example of category II code is 847.0 Neck sprain, the GEMs being S13.4XXA Sprain of ligaments of the cervical spine, initial encounter and S13.8XXA Sprain of joints and ligaments of other parts of the neck, initial encounter. Category III code example, 722.4 Degeneration of a cervical intervertebral disc, with an equivalent GEM leading to M50.30 Other cervical disc degeneration, unspecified cervical region. Hope this helps. Thank you.

Posted by Annette, 1 Year(s). There are 6 posts. The latest reply is from SuperCoder.

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