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Replacemnt code for 97040???

I am working with a Chiropractor that has a workman's comp claim held up because of a wrong code. The code is 97040, my problem is I can't find a replacement code. Does anyone know what it is? Please...

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Re: Replacemnt code for 97040???

I went back to 1998 with my CPT and 97040 has not been a valid CPT code since that date. It was a code used before 1996 but I cannot find a description for it.Unfortunately, we have no idea what it is...

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Re: Replacemnt code for 97040???

Thanks Steve, I kept running into the same problem. I'm glad you answered my response because I knew if anyone could find out it would be you. I have requested a description of what the procedure is...

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Re: Replacemnt code for 97040???

Steve, I just found out he did give me the wrong code. It is supposed to be 97140. However, when I enter it with the modifier of 59 I am still showing an error. I was under the impression mod. 59 is...

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Re: Replacemnt code for 97040???

Here is a good one for you.If he is billing 97140, why is he using modifier -59 if there are no other procedures to indicate that this procedure is separate and distinct?

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Re: Replacemnt code for 97040???

Sorry My fault, I left out the complete information. He is billing for 98941 which is why he is using the -59 modifier. Just so you have the complete picture, here is what he billed. ICD-9 as follows,...

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Re: Replacemnt code for 97040???

Never mind Steve, I figured out what I was doing wrong. This system is new for me, my mistake. Thanks for the helpHowever, I'm still open to any words of wisdom.

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Re: Replacemnt code for 97040???

If this is work comp, you need to check the specifics of work comp in your state. For instance, in California, the official fee schedule uses the 1999 CPT codes. You cannot use codes that have been...

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Re: Replacemnt code for 97040???

Thanks Sharon, I will follow up on that. I'm new at doing the work comp claims so this information is helpful. Thanks for your reply.

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