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Thread: CPT Codes 97022 & 97012

  1. #1

    Thumbs down CPT Codes 97022 & 97012

    I am looking to hear from any chiropractic offices that are being audited and refunds requested based on incorrect coding of 97012 (traction) and 97022 (whirlpool) We are currently fighting these take-backs based on the fact that we believe this to be the most accurate codes to describe the treatment.

    I would like to find out if other offices are fighting back...

  2. #2
    Join Date
    Apr 2007
    Location
    Duluth, Minnesota
    Posts
    1,135

    Default

    hmm... I haven't had this issue - but perhaps the "better" code would have been an unlisted procedure (I know, I know - YUK),... Still, maybe it would have beenthe better one to use along with the documentation. ?? You can't really fight it if documentation doesn't support the CPT service billed. (even if you think it was "close enough" to code it out)
    Donna, CPC, CPC-H

  3. #3

    Default

    CCI calls these mutually exclusive. Try using modifier 59 and sending notes...(?)

  4. #4
    Join Date
    Apr 2007
    Location
    Honolulu
    Posts
    185

    Default CPT 97022 with 97124 and modifiers

    2017 ICD-10-CM Coding Book
    Our patient is on a treatment plan by an MD. He is not a MEdicare pt. OUr PTA is performing the physical Therapy under the supervision of a PT. Our chosen codes are 97022 and 97124, whirlpool and massage, respectively. What modifiers do I use, if any? My thoughts are 59 and/or GP. Any advice here?

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