What is the insurance code for massage therapy?
Asked by: Ali Marks | Last update: February 16, 2025Score: 4.9/5 (34 votes)
What is the billing code for massage therapy?
97124 (Massage therapy): Describes work including effleurage, petrissage, and/or tapotement (stroking, compression, percussion) for every 15 minutes.
How to get massage therapy covered by insurance?
Massage therapy may be covered under insurance if it is deemed medically necessary by a healthcare provider. To improve the chances of coverage, obtain a referral or prescription from your doctor specifying the medical condition being treated.
What is the difference between 97124 and 97140?
97124: Therapeutic procedure, one or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion). 97140: Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.
What type of insurance should a massage therapist have?
What Kinds of Insurance Are the Most Important for Licensed Massage Therapists to Have? The two main types of coverage licensed massage therapists should have are general and professional liability insurance. General liability insurance covers damages caused by your operations – think slip and falls!
Medicare Guidelines for Massage Therapy as A Covered Service 97124 #MCRHybrid
What type of healthcare is massage therapy?
This is just a small number of allied healthcare workers, and some estimates state that up to 60% of employees in healthcare are in allied care. So, by definition, massage therapy is part of healthcare services, and massage therapists are medical professionals.
What is CPT code 97140 for massage?
CPT® code 97140: Manual therapy techniques, 1 or more regions, each 15 minutes (Mobilization/manipulation, manual lymphatic drainage, manual traction)
What is the ICD 10 code for massage therapy?
2025 ICD-10-PCS Procedure Code 8E0KX1Z: Therapeutic Massage.
What is manual massage therapy?
Massage is a manual technique used to promote healing and reduce muscle tension. It is often used in conjunction with trigger point therapy. There are many different forms of massage but the common type of massage used in physiotherapy is deep friction massage.
Does massage therapy count as a medical expense?
For instance, if your doctor prescribes massages to help recover from an injury or manage a chronic condition, you may be able to include these costs in your medical expense deductions. Keep in mind that the IRS requires that these expenses exceed 7.5% of your adjusted gross income before you can claim them.
How to get a referral for massage therapy?
- Schedule an appointment with your doctor. ...
- You can also request a recommendation from your doctor of good massage therapy centers, and perhaps one that can provide a focus on your specific condition.
- Locate a Massage Therapist. ...
- Make an appointment. ...
- Discuss your treatment options.
What is the CPT code for massage therapy 90 minutes?
Answer: The CPT code for massage is 97124 which is a timed-based service which is reported in 15 minute increments. There is only one code for all massage (97124) so longer massage services would simply be reported using the proper number of units (e.g., 60 minutes = 4 units).
What is the business code for massage therapy?
4602. (a) The California Massage Therapy Council, as defined in subdivision (d) of Section 4601, is hereby established and shall carry out the responsibilities and duties set forth in this chapter.
Does Massage Envy take insurance?
No, Massage Envy does not accept insurance; however, they do accept HSA/FSA debit cards. They also offer an introductory rate of $60 for a 60-minute session or $90 for a 90-minute session for first-time customers.
What is 97010 bundled with?
Bundled Service Designation: Many payors consider CPT 97010 a “bundled” service, meaning its cost is included with payment for a primary therapehotutic service, rather than reimbursed separately. This often results in reimbursement denials when billed independently, as many payors categorize it as non-reimbursable.
What is the difference between CPT code 97140 and 97124?
CPT code 97124 is more so directed at massage therapy, while 97140 is actually for manual therapy. When using either of these massage therapy billing codes, be sure to cite these exact treatment procedures in your claim to ensure coverage.
What is the difference between massage and massage therapy?
The main differences between what most people would consider a traditional massage and clinical massage therapy is the targeted nature of the massage, the level of pressure and patient involvement. Many therapeutic massages are targeted at deeper muscle groups that require greater pressure to reach.
Why do massage therapists clap?
The clapping technique is used to stimulate the muscles, target deep tissues, and increases circulation in the body. A massage therapist may use cupped hands to slap different areas of the body, such as the back, arms, legs, and feet.
What is massage therapy code?
CPT 97124 should be used when a qualified healthcare professional performs any massage technique on the patient in a clinical setting. The qualified healthcare professional includes: Physical Therapist. Occupational Therapist.
How do you code a massage?
- Write out words in reverse. ...
- Split the alphabet in half and replace each letter in your message with its opposite. ...
- Draw a tic-tac-toe grid to make a pigpen cipher. ...
- Create a second tic-tac-toe grid, but draw a dot in each box. ...
- Draw 2 X-shaped grids and fill in the rest of the letters.
Can a massage therapist bill for 97124?
CPT 97124 can be reported and reimbursed when massage therapy, including effleurage, petrissage, and/or tapotement (stroking, compression, and/or percussion) is medically necessary and at least one of the following conditions is present and documented.
What insurance companies cover massage therapy?
- Major Medical PPO – BlueCross BlueShield, Aetna, Humana.
- Auto Insurance.
- Workman's comp.
How do you bill for a massage?
Current Procedural Terminology codes, or CPT codes, are used by insurance providers to document medical procedures. Use these codes to explain the treatment you provide when you bill insurance for your services. The most common 3 codes are: 97010 Hot/Cold Packs, 97124 Massage Therapy, and 97140 Manual Therapy.
How to bill for manual therapy?
Specifically, CPT® code 97140 is used to bill for manual therapy techniques. This includes joint mobilization/manipulation, manual lymphatic drainage, and manual traction, applied to one or more regions of the body to alleviate pain, improve mobility, and enhance overall function.
What category does massage therapy fall under?
Massage therapy generally falls under the classification of "general health," which refers to a service or procedure that can provide a boost to a person's overall health and wellness but is not considered a vital treatment to alleviate a specific medical condition.