97124 Massage Therapy Describes the work inherent in massage, which is a separate and distinct service from codes 98940-98943. CPT code 97124 describes work including effleurage, petrissage, and/or tapotement (stroking, compression, percussion) for every 15 minutes.
What modifier do I use for massage therapy?
Modifier “-59” & 8-Minute Rule According to the National Correct Coding Initiative (NCCI), massage therapy (97124) and manual therapy (97140) are considered to be linked, meaning if one of these codes is billed, only one payment may be received despite two services being provided.
What is the CPT code for deep tissue massage?
Massage specialists and therapists use a variety of strokes and massage techniques on their patients’ bodies for therapeutic purposes. Effleurage, petrissage, or tapotement are the methods used in CPT code 97124.
How do you code a massage?
The CPT code for massage is 97124 which is a timed-based service which is reported in 15 minute increments. There is only one code for all massage (97124) so longer massage services would simply be reported using the proper number of units (e.g., 60 minutes = 4 units).
Can massage therapist perform 97140?
If your treatment is based on or consists of a basic relaxation massage (Swedish massage), this is the code to use. 97140 is used to describe therapy which increases active pain-free range of motion, increased extensibility of myofascial tissue and facilitates return to functional activities.
Is massage considered manual therapy?
Massage Therapy is a form of Manual Therapy. More precisely, massage therapy can be described as soft tissue manipulation (soft tissues are all tissues of the body other than hard tissue, i.e., bone).
Can a massage therapist Bill 97110?
Be very careful billing massage as 97110 (Therapeutic exercises) or 97140 (Manual therapy). Since there is code 97124 (massage – including effleurage, petrissage and/or tapotement (stroking, compression, percussion)) You must use this code when massage is documented.
Can a massage therapist bill for 97124?
Once you’ve verified that massage therapy coverage is possible, the main billing CPT billing codes for massage therapy include: CPT Code 97010: Hot & cold packs. CPT Code 97124 Therapeutic Procedure, 15 minutes: Stroking, compression, percussion.
What is the ICD 10 code for massage therapy?
ICD-10-PCS Code 8E0KX1Z – Therapeutic Massage – Codify by AAPC.
Why is it called the 8 minute rule?
The 8-Minute Rule was established because, according to CPT guideless, each timed code represents 15 minutes of treatment. As you may realize, not every treatment time for these codes will divide into exact 15 minute blocks. As a result, the 8-Minute Rule was born!
Is CPT code 97140 physical therapy?
CPT® code 97140: Manual therapy techniques, 1 or more regions, each 15 minutes (Mobilization/manipulation, manual lymphatic drainage, manual traction)
How do you use massage insurance?
For a massage to be covered by insurance, your best bet is to get a prescription or referral from your doctor. Even then, the insurance company doesn’t have to agree to pay for it. Medicare, for example, doesn’t cover massage therapy at all, so you would have to pay for 100% of the costs.
Who can bill CPT 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 97110 and 97140 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 the same day for the same patient; instead, using these codes together on the same day is very common.
Can 97162 and 97140 be billed together?
Yes. It’s possible to bypass the edit by using the 59 modifier/X modifier when billing 97140 with the physical therapy evaluation codes (97161, 97162, or 97163). If you don’t use the modifier for this combination of codes, CMS will deny the manual therapy code.
Can 97164 and 97110 be billed together?
That’s because CMS—at the behest of the APTA—has agreed to accept these pairs without the use of a modifier. In other words, you can perform the following services—and receive payment for them—without needing to affix modifier 59: 97110 with 97164.
How often can you bill a physical therapy evaluation?
State PT/OT Acts If a physical therapist assistant or physical therapy aide is involved in the patient care plan, a physical therapist shall reassess a patient every 60 days or 13 visits, whichever occurs first.
Does physical therapy include massage?
Do Physical Therapists Do Massage? Yes — Physical therapists perform a variety of massage techniques including: Active Release therapy. Trigger point release.
What can be billed under manual therapy?
97140 Manual Therapy Sessions that can be billed under this physical therapy CPT code can cover joint mobilization, soft tissue mobilization, muscle energy techniques, manual traction, and manual lymphatic drainage.
What is the difference between a manual therapist and a massage therapist?
Massage is used to reduce tension, anxiety, stress, and promote overall circulation, relaxation, and flexibility. Manual therapy is the application of hands-on techniques to body tissues with intent to therapeutically asses and treat.
Who can bill for CPT code 97110?
CPT 97110: Therapeutic Procedure The eight-minute rule helps you count how many units of a time-based service you can bill for Medicare. The rule states that you must perform the service for at least eight minutes in order to count for one full unit.
Can 97012 and 97140 be billed together?
when I looked these up I get: 97012 is a manual traction code and 97140 is a manual therapy code. They consider these to be two modalities that are not possible for the same area in the same session. That is the mutually exclusive part.
Is CPT 97110 PT or OT?
The 97110 CPT code describes therapeutic exercises that a patient participates in during an OT therapy session. These exercises help build strength or endurance to support a return to normal functioning.
Is 97124 a physical therapy code?
CPT® 97124, Under Physical Medicine and Rehabilitation Therapeutic Procedures. The Current Procedural Terminology (CPT®) code 97124 as maintained by American Medical Association, is a medical procedural code under the range – Physical Medicine and Rehabilitation Therapeutic Procedures.
What is a Superbill for massage therapy?
A superbill is a detailed invoice outlining the services a client received. Therapists may need to generate a superbill when they are not on a client’s insurance company’s panel. The therapist or client submits the superbill directly to the insurer, giving the insurer all the information they need to pay the claim.