• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 98941-at

Create Wiki
E

erjones147

Guest
Messages
414
Location
Fernley, NV
Best answers
0
New to chiro billing here, and I sure could use some help getting 98941-AT paid from Medicare. My provider is documenting subluxation for at least 3 spinal regions, but (without posting a sample chart) I'm not sure he's documenting the subluxation well enough

He likes to use a myalgia Dx plus the required subluxation Dx codes, but he rarely uses anything from the 721.x or 739.x families

1) is a 721.x/739.x required?
2) does he have to use a PART exam format?
3) Any other tips or tricks?

I'm guessing this will all come down to bad or missing chart documentation, but anything specific I can talk to my provider about will be greatly appreciated
 
Per Medicare Guidelines (And I would get to know your LCD), you must have a dx for the subluxation or primary, which is the 739.x code set, otherwise you will get denied. 72.x is a secondary dx. Good luck!
 
Per Medicare Guidelines (And I would get to know your LCD), you must have a dx for the subluxation or primary, which is the 739.x code set, otherwise you will get denied. 721.x is a secondary dx. Good luck!
 
You must log in or register to reply here.
Top