What CPT code is 97140?
Manual Therapy
Version 27.0 Correct Coding Initiative (CCI) Edits
| CPT Code | Description | Timed? |
|---|---|---|
| 97139 | Physical Medicine Procedure | Y |
| 97140 | Manual Therapy | Y |
| 97150 | Group Therapeutic Procedures | N |
| 97151 | Behavior Identification Assessment | Y |
What can be billed under manual therapy?
97140 Manual Therapy: Includes soft tissue mobilization, joint mobilization, manipulation, manual traction, muscle energy techniques (performed using resistance applied by PT), and manual lymphatic drainage….The six basic ADLs are:
- Eating.
- Bathing.
- Dressing.
- Toileting.
- Transferring.
- Continence.
What modifiers can be used with 97140?
If you treat the cervical region with 98940 and the lumbar region or limbs for 15 minutes using various manual techniques as listed above, then 97140 can be used with the -59 modifier. The -59 indicates that you are “providing separate and distinct services not often performed together”.
Does Medicare cover 97140?
Also, Medicare NCCI edits categorized 97140 as a component of CMT, unless a modifier (e.g., -59) is used for a different region(s). However, Medicare law prohibits coverage and payment for non-CMT services. Thus, if 97140 is bundled with or into CMT, it would be a violation of Medicare law.
Is CPT 97140 covered by Medicare?
Is 97140 a chiro code?
American Medical Association (AMA) coding guidelines dictate that it is only appropriate to bill for Chiropractic Manipulative Treatment (CMT) and manual therapy (CPT code 97140) for the same patient on the same visit under certain circumstances.
What can be billed as therapeutic exercise?
Therapeutic activities cover a wide range of functional tasks like bending, lifting, catching, pushing, pulling, throwing, squatting etc. An example of a therapeutic activity could be lifting a weighted object and placing it on the top shelf, which is mainly to strengthen overhead shoulder .
Does 97140 need a modifier?
CCI edits dictate that 97140 is a “column two” procedure when combined with CMT, which means that the two are not mutually exclusive (that’s column one). Instead, when these two codes are performed and billed on the same day, they require a modifier (-59) to indicate that they are separate and distinct procedures.
Is 97140 a timed code?
At least eight minutes of a physical therapy timed service must be provided in order to use a therapy procedure code (i.e. 97140 – manual therapy techniques, one or more regions, each 15 minutes). If the therapy service is less than eight minutes, it is not billable as those codes require a minimum of eight minutes.
What is manual therapy 97140?
CPT description for code 97140 (manual therapy) includes manual therapy and techniques such as manipulation, soft tissue mobilization or joint mobilization. Individual techniques should not be separately coded or billed since it is a time-based code.
What is the CPT code for evaluation and treatment?
Medical Examinations and Evaluations with Initiation/Continuation of Diagnostic and Treatment Program: CPT codes 92002-92014 are for medical examination and evaluation with initiation or continuation of a diagnostic and treatment program.