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OMT Codes

Annette Posted Tue 10th of September, 2019 14:11:33 PM
Can an MD bill OMT codes? Would you include an office visit with that and what diagnosis codes would be used? Thanks!
SuperCoder Answered Wed 11th of September, 2019 04:29:49 AM

Hello Annette,

Thank you for your question.


Osteopathic manipulative treatment (OMT) is a form of manual treatment applied by a physician or other qualified health care professional to eliminate or alleviate somatic dysfunction and related disorders.


Can an MD bill OMT codes?

Yes, an MD can bill for Osteopathic Manipulative Treatment (OMT) codes.


Note: Qualifying an MD to perform manipulative treatment is a matter of state licensure, and some states have stricter requirements than others. You are advised to check with your respective payer for any specific guidelines for the same.


Would you include an office visit with that?

An Evaluation and Management service can be billed on the same day as the OMT; if the service is significantly and separately identifiable from the Osteopathic manipulation therapy. E/M services provided by the same provider on the same day as an OMT should include modifier -25 to ensure proper reimbursement.


What diagnosis codes would be used?

There are multiple diagnosis codes available in ICD-10-CM; to report the appropriate diagnosis code, the medical documentation should indicate the list of problem(s) for which OMT was performed.


Hope that helps!


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