USE MODIFIERS 25 AND 59 ACCURATELY IN CHIROPRACTIC MEDICAL BILLING

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USE MODIFIERS 25 AND 59 ACCURATELY IN
CHIROPRACTIC MEDICAL BILLING

• Optimize your practice with excellent revenue
  management expertise

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USE MODIFIERS 25 AND 59 ACCURATELY IN
CHIROPRACTIC MEDICAL BILLING
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USE MODIFIERS 25 AND 59 ACCURATELY IN
CHIROPRACTIC MEDICAL BILLING

• Where do you use modifiers 25 and 59 in a claim
  form? The usual way of specifying Chiropractic
  modifiers in a claim form is they go along with
  CPT codes to convey the insurance company that a
  usual service type has not been billed. Using the
  right modifiers appropriately can bring down the
  denials rate and increase reimbursements. In case
  CPT codes are billed without adding modifiers,
  there are high chances that the insurer may
  reject the claim with a detailed explanation on
  the explanation of benefits (EOB) column with
  another service.
• Chiropractic manipulative treatment (CMT) and CPT
  codes
• CMT codes impose treatment for influencing joint
  and neurophysiological functions, which covers
  five spine regions indeed cervical region,
  thoracic region, lumbar region, sacral region,
  and pelvic region.
• Let us look into the related CMT CPT codes now.
• For spinal 12 regions, the code is 98940
• For spinal 34 regions, the code is 98941
• For spinal 5 regions, the code is 98942
• For more than one extra spinal region, the code
  is 98943

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USE MODIFIERS 25 AND 59 ACCURATELY IN
CHIROPRACTIC MEDICAL BILLING

• How to use modifiers 25 and 59 when submitting
  Chiropractic medical billing claims?
• Modifier 25
• There are specific guidelines you may have to
  follow while reporting modifier 25 with CMT
  codes.
• CMT codes have a pre-manipulative patient
  evaluation.
• In case you wish to specify additional evaluation
  and management (E/M) services, it should be done
  individually using modifier 25. Note that this
  has to be provided only if the patients health
  condition needs it. Therefore if you are billing
  both manipulation and E/M codes for the same
  visit, modifier 25 should be attached by default
  to the E/M code.
• Before submitting claims, providers should look
  for which category you are using modifier 25,
  i.e. whether it is commercial or federal.
• Due to the E/M service can be caused by a similar
  type of conditions or symptoms, based on which
  the CMT services are provided there is no need of
  specifying it under different diagnoses.

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USE MODIFIERS 25 AND 59 ACCURATELY IN
CHIROPRACTIC MEDICAL BILLING

• Modifier 59
• A new subset was released in the year 2015, by
  CMS, for the 59 modifiers, which are XE, XS, XP,
  and XU to be used in place of 59 modifiers
  wherever.
• Modifier XE can be used for a separate encounter
  when there is a distinct service and occurred
  during a particular meeting.
• Modifier XS can be used for a separate structure
  when there is a distinct service and performed on
  an individual organ or structure.
• Modifier XP can be used for a separate
  practitioner when there is a distinct service and
  performed by a different practitioner.
• Modifier XU can be used for an uncommon
  overlapping service when there is a specific
  service, and it does not overlap the standard
  components used in the main service.
• Conclusion
• Ultimately, both modifiers 25 and 59 are critical
  to save your claims from denials and get quick
  reimbursements in Chiropractic medical billing
  services. Outsourcing Chiropractic medical
  billing and coding is the best and practical
  option to achieve optimized results and profits
  for your business. 24/7 Medical Billing Services
  is one such company that provides the necessary
  CMT billing and coding services with top-notch
  quality.

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About 24/7 Medical Billing Services

• 24/7 Medical Billing Services is the nations
  leading medical billing service provider catering
  services to more than 43 specialties across the
  entire 50 states. You can rely on us for
  end-to-end revenue cycle management. We guarantee
  up to 10-20 increase in the revenue with cost
  reduction of your practice for up to 50. Call us
  today at 888-502-0537 to know more on how we can
  help boost profitability for your practice.
•  
• Media Contact
• Hari Sudan, Media Relations,
• 24/7 Medical Billing Services,
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• Lewes, DE 19958
• Tel [phone]
• Email - info_at_247medicalbillingservices.com