Watch out for New ICD-10-CM Codes
New ICD Codes for: Low Back Pain, Cervicogenic Headache, Non-Radiographic Axial Spondyloarthritis (nr-axSpA), and Social Determinations of Health (SDOH). These codes became effective on October 1, 2021.
Intersegmental Traction — What’s Happening with Roller Tables?
Intersegmental traction therapy via the use of roller tables has been used by doctors of chiropractic for many years. Recently, questions have arisen regarding the appropriate billing of roller tables. This is largely due to the statement published in the July 2020 CPT Assistant published by the American Medical Association (AMA). Which code should you really be using?
Q/A: What’s Wrong with the Diagnoses on my Claim?
Question: I got a denial on my claim and it said the problem was with the diagnoses codes that I used. I used M54.15 and M79.2. I don’t understand why this is a problem.
Understanding NCCI Edits
Medicare creates and maintains the National Correct Coding Initiative (NCCI) edits and NCCI Policy Manual, which identify code pair edits. When performed on the same patient, on the same day, and by the same provider, the secondary code is considered an integral part of the primary code, and payment for …
Can They Deny Electrical Stimulation by Saying There is no Evidence that it Works?
Topic: Electrical Stimulation (EMS)
Question: An orthopedic surgeon/IME recommended a denial for all electrical stimulation
(EMS) by stating that “according ODG electrical stimulation is experimental therefore not
medically necessary or eligible for reimbursement.” Is that true?
Q/A: How do I Bill Class 4 Deep Tissue Hot Laser Treatment?
Is there a way to bill out for Class 4 deep tissue hot laser treatments?
Plain Film Xray Penalty 2017
Watch Another quick tip from the ChiroCode HelpDesk – Plain Film Xray Penalty 2017. Even though this news comes from Medicare, who does not reimburse chiropractic physicians for x-rays, private payers nearly always follow their example. This represents the trend of X-ray reimbursement for all of healthcare.
Q&A: Will Using Lower Level Codes Reduce Our Chances of Being Audited?
Q&A: If we use low level codes on each visit (such as 98940, 99212, 99202), will our chances of being audited be less than if we billed higher level codes?
Q&A: Is There a Better Supply Code to Use Than 99070?
Are there more specific codes for supplies rather than using 99070?
Everything a Chiropractor Needs to Know About 97110, Therapeutic Exercises
97110, Therapeutic Exercises, is one of the most commonly used CPT codes for Chiropractors. Unfortunately it is also misunderstood and misused far too often. For instance, did you know that it should not be reported with modifier 52, ever? Find out all you need to know about this code in the 2016 ChiroCode DeskBook Common Procedure Codes chapter.
