angela87165
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Hi!
I have been trying to find an answer but am having difficulty. The LCD (TX) L35424 (https://www.cms.gov/medicare-covera...Texas&CptHcpcsCode=98940&bc=gAAAACAAAAAAAA==&) for chiro code 98940 lists 3 sets of group codes. Each group (A, B, C, D) covers a different number of manipulations. I know that I have seen this in other LCD's. So, my question: In order for Medicare to pay for 30 manipulations per year, do you have to assign a group D diagnosis code, along with the subluxation primary code? I hope this makes sense.
Thank you for your time!
Angela Jones, CPC
(gotta say that I love having that CPC credential)
I have been trying to find an answer but am having difficulty. The LCD (TX) L35424 (https://www.cms.gov/medicare-covera...Texas&CptHcpcsCode=98940&bc=gAAAACAAAAAAAA==&) for chiro code 98940 lists 3 sets of group codes. Each group (A, B, C, D) covers a different number of manipulations. I know that I have seen this in other LCD's. So, my question: In order for Medicare to pay for 30 manipulations per year, do you have to assign a group D diagnosis code, along with the subluxation primary code? I hope this makes sense.
Thank you for your time!
Angela Jones, CPC
(gotta say that I love having that CPC credential)