I have been having this issue to. If you figure it out will you please let me know. Thanks!I have noticed and increase in denials for Humana. The most common is do to inappropriate or missing modifier.
Most common codes I bill out are 98941; 97110 and 97012. What modifiers do your practices use?
The NCCI says: Medicare covers chiropractic manipulative treatment (CMT) of five spinal regions. Physical medicine and rehabilitation services described by CPT codes 97112, 97124 and 97140 are not separately reportable when performed in a spinal region undergoing CMT. If these physical medicine and rehabilitation services are performed in a different region than CMT and the provider is eligible to report physical medicine and rehabilitation codes under the Medicare program, the provider may report CMT and the above codes using modifier 59 or XS.I have been having this issue to. If you figure it out will you please let me know. Thanks!