AMA CPT® Assistant - 2016 Issue 11 (November)

Medicine: Physical Medicine and Rehabilitation (Q&A) (November 2016)

November 2016 page 9c Medicine: Physical Medicine and Rehabilitation Question: Is it appropriate to report code 97140, Manual therapy techniques (eg, mobilization/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes, with modifier 59, Distinct Procedural Service, appended for a separate procedure such as myofascial release, when performed by the same provider at the same session with chiropractic manipulative treatment (CMT), where both procedures are performed to the same spinal region? Answer: No, modifier 59 indicates that the procedure was provided to a separate anatomical body region. Given the similarity in the two procedures (CMT as...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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