Massage Therapist Insurance Billing Under CPT Code 97124

One of the essential parts of optimized practice management is accurate billing. In the medical industry, one of the coding and billing sides deals with the service of massage therapy. There is a huge range of CPT codes when it comes to insurance billing for massage therapists.

Importance of CPT codes

The importance of using standard CPT codes cannot be underestimated. Most of the time when your practice is performing at its best at that time you don’t want to get stuck in the billing ventures that may also cause a delay in the RCM.

Seeing the above discussion, this blog covers the most common CPT codes used for the billing of massage therapy services. Moreover, you will have broad information about the importance of CPT codes in massage therapeutic services.

For Massage Therapists: Insurance Billing Is So Important. Why?

For the maintenance of the optimized practice management and streamlining the revenue cycle management, accurate insurance billing is so important for a massage therapist. The guidelines that have been provided by the HCPCS need to follow by the Billing and Coding experts to use CPT massage therapy coding which can guarantee the bill if used efficiently.

Not only this but also the insurance claims for the services rendered can be reimbursed promptly through accurate billing procedures. It means if you are great after optimizing the practice revenue, your revenue cycle management will be less interrupted. No matter if the insurance billing is accurate or inaccurate, it will affect the overall practice of a therapist.

How Does Massage Therapy Cover By Medical Insurance?

You need to understand that massage therapy is not accepted by all insurance companies. that’s the reason that not always guaranteed that the insurance of your patient will be reimbursed you back for the services you have provided.

It is important to discuss the insurance expectations and payment with your client at the very starting process. Discussing the financial things before the services and visit will reduce the consumption of time at the visit and also when it’s time to reimburse.

It’s also important to ask your clients if their insurance company covers the services for massage therapy under the plan purchased by them. If yes then it is also important to check whether the massage therapy is covered by the massage therapist because some insurance plans cover the massage from a physical therapist.

Most of the time when there’s an auto accident then it becomes necessary to stay in touch with the legal manager of your service to cater the insurance for the service they are insured.

Does Medicare Cover Massage Therapists?

Massage therapies and treatments are not covered by Medicare yet but there are insurance sources that do cover the treatment and the massage therapies but they vary from state to state. These are the following

  • Workers Compensation Insurance 
  • Personal Injury (PIP)
  • Major medical plans (Blue Cross, Blue Shield, Cigna, United, Aetna, etc.)

It’s necessary to know that just knowing the name of the insurance providers isn’t enough. A therapist must also be aware of the client’s insurance plan, the therapies it covers, and the company that provides insurance services. It is essential to validate the information with the insurance provider before the therapy is initiated. The patient medical card’s and the policy information’s contact number can be used to speak with the insurance company directly.

How Does A Massage Therapist Submit Insurance Claims?

A massage therapist can bill the medical insurance. As long as:

  • The Therapy service is a critical component of the therapeutic strategy recommended by a Chiropractor, DO, or MO.
  • The therapist is authorized.
  • An NPI is assigned to the therapist. If you’re a therapist without a current NPI number,

Who Manages The CPT Codes: The Massage Therapist?

The American Medical Association (AMA) regulates CPT codes, also known as Current Procedural Terminology. The structural and procedural codes that describe the services and therapies offered by doctors and therapists across the nation are managed by AMA.

In Massage Therapy What Are The Most Common CPT codes?

The following codes can be used by the massage therapist to submit insurance claims:

  • Therapy with Cold and Hot Packs 97010
  • Manual Therapy 97140 (Advanced Massage Therapy Techniques)
  • Massage Therapy 97124 (Basic Swedish Massage)
  • More time with the client can be compensated for in Manual 97140 and Massage 97124, which are further separated into 15-minute intervals and allow for tapotement, effleurage, petrissage, percussion, and compression.
  • Manual Therapy (97140) (advanced Massage Therapy Techniques)

Both the manual (97140) and the massage (97124) are divided into 15-minute blocks.

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