Wiki Chiropractor billing PT Codes

[Cassandra Stone]

Does anyone know how to get PT codes paid when billed by a DC in the state of California?

The provider wants to bill:
98940
97112
97110
97014

We have another DC doing similar procedures and everything except 98940 came back denied stating the provider was not a physical therapist, but everything I've read says in CA chiropractors should be able to bill PT services. Any input is greatly appreciated!

 

[Candice_Fenildo]

I would recommend checking your Local MAC. Although Chiropractors can bill for any number of services, Medicare says that they will only reimburse Chiropractors for manual manipulation or sublexation.

Also, Chiropractors Billing continues on the 2015 OIG Workplan.