Wiki 98941-at

[erjones147]

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

 

[ejlehman]

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!

 

[ejlehman]

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!