Insurers for PIP Claims are Improperly Denying Manual Therapy Codes

Under the new PIP statute, which took effect on January 1, 2013, massage and acupuncture are not reimbursable. While there are constitutional challenges to the new PIP law, many insurers are not paying these codes. A number of insurers are using this provision of the new PIP law to avoid paying other CPT codes as well. For instance, some insurers have refused to pay for manual therapy (97140) alleging that it was massage (97124). If a doctor performs manual therapy and their notes reflect that they perform manual therapy, the insurer is wrong for refusing to pay for the CPT codes.

If your Manual Therapy bills are being denied by PIP Insurance Companies, we can help get your PIP bills paid correctly. We never charge our PIP clients any money to represent them, and we never take a percentage of their recovery. If you need help, call our office now at 561-598-7122 and ask for Attorney Lyle B. Masnikoff or Kevin Davies.