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Medical Massage - What are the current perimeters

  1. #1
    Default Medical Massage - What are the current perimeters
    Medical Coding Books
    What are the current perimeters for billing Medical Massage? Do you still use the 97124 and bill per unit? Do we need to use the GP modifier if it is performed in a medical office setting? Does the doctor have to provide a prescription to the patient before they can have the service performed in the office by a licensed massage therapist.

    Please HELP!!

  2. #2
    Phoenix, AZ
    Good morning,

    If you are billing 97124 for a massage therapist, do not use the GP modifier. Do not use this code for a PT, instead use the 97150. If the PT is truly providing only massage and you have a massage therapist on staff, think of sending to the MT. The insurance will begin to question whether or not it is palliative in nature. You do not want an audit. If you are billing the insurance for the MT services, you need an order for the therapy. If the patient is cash pay, no order is required.

    Hope this helps,
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

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