By Claiming It Is Massage
Medical providers who perform and bill for manual therapy (CPT code 97140) are having insurance companies deny the CPT code, alleging that it was actually massage therapy (CPT code 97124).
The CPT Codebook definitions of manual & massage therapy are as follows:
97140 manual therapy: The CPT Codebook considers manual therapy to be specialized techniques, mobilization, joint manipulation, manual lymphatic drainage, manual traction, myofascial release, etc. that are performed on one or more body part for at least 15 minutes each.
97124 massage therapy: The CPT Codebook considers massage therapy to be a number of specific techniques such effleurage, petrissage, and/or tapotement methods like stroking, compression, percussion.
In order to avoid denials for manual therapy, medical providers need to educate themselves on the differences between manual therapy and massage therapy. In addition, they need to be specific in their medical records as to what therapies were used.
Lyle Masnikoff & Associates, P.A.
If you have a CPT code denial for manual therapy, make sure you have a PIP attorney handle your case. We would love to discuss your case and explain all of your options to make sure that you receive the benefits that you are entitled to.
Throughout Mr. Masnikoff’s career, he has represented numerous injured workers who have had to leave their employment for one reason or another and have had their indemnity benefits cut off. If you or a loved believe that your missed wage benefits have been unjustly terminated, or are receiving benefits and thinking about leaving your employment but have questions regarding your ongoing benefits, we would love to discuss your case and explain all of your options to make sure that you receive everything that you are entitled to. Please give us a call at (877) 817-4127 or visit our website.