Quick Questions
Chiropractic Consulting - Quick Questions by ChiroCode

Chiropractic Quick Questions - Current and Past

ChiroCode receives and answers hundreds of Quick Questions each month from our customers.  Customers who purchase the ChiroCode Membership are able to email questions directly to the experts at ChiroCode.  Professionals who have chosen the ChiroCode Premium Membership may also contact our Quick Questions hot line for instant answers.

ChiroCode accumulates the questions and answers and adds them to the ChiroCode KnowledgeBase which is available to Premium Memberss.  Also ChiroCode features a new Quick Question and Answer each week that appears on our home page along with the two prior questions.  These questions and answers are also shown below.  This page also contains the question portion from prior week's Quick Questions.  A full archive of all the ChiroCode Quick Questions and Answers can be found in the ChiroCode KnowledgeBase.

Premium Membership Sample:  Top 10 Frequently Asked Quick Questions - Answered by ChiroCode

Current Quick Questions

Billing for Cupping and Moxibusion Treatments

Question: 

Our office is considering adding a massage therapist that performs standard massage techniques as well as cupping and moxibustion.  We are wondering if there is a way to bill insurance for the cupping and moxibusion treatments?

Answer: 
There are not CPT or HCPCS codes that identify cupping or moxibusion treatments.  The only option for coding these services would be to use unlisted codes such as 97139 (unlisted therapeutic procedure) or 97039 (unlisted modality).  If submit to a third party payer, these services must be described on a claim form in the red shaded area above the unlisted code.  Coverage, if allowed, will be determined by the benefits and limitations of the patient's policy.  
Additionally, it would be a good first step to verify the scope of massage therapy in your state to ensure that your therapist is performing within those guidelines.  
For more information, please see this Acupuncture Today article.

Fee Schedule

Question: 

 

Our office has not ever updated our fee schedule.  We use the same fees for several of years.  We are concerned of this now because we have added a couple of new services and are unsure if our fee schedule makes sense.  Is there a way to evaluate fees?

Answer: 

 

Yes.  There are a few reliable ways to evaluate your fee schedule.  It is increasingly necessary for practices to regularly evaluate fees and would be good to do so each new year.  We recommend the Fee Analysis linked here.  This analysis shows an estimate of average fees for each region of the country and comes in an easy to read report identifying each service code and the estimated fees for each.  

Blood Pressure Measure for PQRS in 2015

Question: 

 

I was told that we are no longer required to do the blood pressure measure for PQRS in 2015.  Is this accurate and do you have a reference?


Answer: 

 

Yes, this is accurate.  Beginning in 2015, chiropractors are no longer required to complete PQRS Measure #317 (blood pressure).  Please see the following link for the 2015 PQRS requirements:

 

Quick Questions

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Billing for Cupping and Moxibusion Treatments

Our office is considering adding a massage therapist that performs standard massage techniques as well as cupping and moxibustion.  We are wondering if there is a way to bill insurance for the cupping and moxibusion treatments?

read more...read more...

Fee Schedule

 

Our office has not ever updated our fee schedule.  We use the same fees for several of years.  We are concerned of this now because we have added a couple of new services and are unsure if our fee schedule makes sense.  Is there a way to evaluate fees?

read more...read more...

Blood Pressure Measure for PQRS in 2015

 

I was told that we are no longer required to do the blood pressure measure for PQRS in 2015.  Is this accurate and do you have a reference?


read more...read more...

Code for Supplements

We sell supplements in our practice and have always used the 99070 code.  However, since this is a generic code, we use it for other supplies that we sell too.  I wonder if there is a more specific code that we can use for supplements?

read more...read more...

Codes for Wellness or Integrative Services

Our office provides a lot of wellness or integrative services.  Many of these services are not covered by insurances.  Our obstacle isn't in trying to get by insurance as we collect the proper acknowledgement that these services are patient responsibility.  However, the struggle we do have is in understanding how to determine codes for these services for data entry.  Currently, we have a a list of codes that we have created internally which seemed to work for a while but now has become confusing.  It is difficult to decipher office statistics and when adding new staff, it is difficult to prevent errors in data entry since our codes are loosely defined and there isn't a reliable resource to verify them.  Due to these increasing obstacles I wonder if there is a better way?

read more...read more...

Code for Hyperbaric Oxygen Chamber

Our office just got a hyperbaric oxygen chamber.  We understand there may not be insurance coverage but are unable to find a code to use for this service.  Is there one available?

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GP Modifier Rule

What is the rule when using the GP Modifier?

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What to charge if you don't participate with EHR and/or PQRS?

As a non-par provider with Medicare, how do we know what to charge if we did not participate with EHR and/or PQRS? 

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PQRS for 2015?

Are there any changes to PQRS for 2015?

read more...read more...

Confused about Medicare appeals?

Medicare appeals are very confusing.  Where can we learn about our requirements and the process for appeals?

read more...read more...

Penalties for not participating in PQRS or Meaningful Use

We are Non-Participating with Medicare and do not accept assignment.  We also have not participated in the PQRS or Meaningful Use programs.  We understand there are penalties to be assessed as of January 1, 2015 for this but are unsure where to find that information.  Can you help?

read more...read more...

Rules for Locum Tenens Billing

What are the rules for Locum Tenens Billing?

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Modifier 59

Q:  Some of our payers appear to be denying claims where the 59 modifier is used.  In the past, we have never had trouble with these claims or using this modifier.  Why could this be?

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How Long Must We Keep Records

Q:  Our office is planning to dispose of aged patient records.  Is there a specific time frame that we are required to keep records for or  other rules that we should know about first?

read more...read more...

Cox Flexion Distraction

If I perform a regular high-velocity adjustment, side posture, on the low back, as well as COX distraction on the cervical region, may I bill a CMT code as well as 97140 for the flexion-distraction?

read more...read more...
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