Hi,
I don't know if I can make this plain enough for anyone to help, but I am going to try. I really need help.
I have a chiro who provides manipulation 3-4 regions on every patient. When I tell him that he must have a diagnosis for all of those regions in addition to the primary patient complaint he says that he would need more than 4 codes (1500 limit) to document this.
I think that if he uses the chief complaint as the primary diagnosis, then uses the last 3 codes for his manipulation regions (739._ series) that that would be enough as long as his documentation backs up his care for the patient.
Does this sound correct? If not, how in the world do I bill for the 12 diagnosis that he wants to use for each procedure?
Also, does anyone else's chiros do manipulation 3-4 regions on every patient? That seems extreme, but he says that he does provide this for every patient.
I finally convinced him that billing an office visit for every visit was probably not a good idea, because I don't believe that he spends any time except the manipulation time with the patient.
Anyone who can help clear this up for me, quickly, I would be very grateful.
Thanks
I don't know if I can make this plain enough for anyone to help, but I am going to try. I really need help.
I have a chiro who provides manipulation 3-4 regions on every patient. When I tell him that he must have a diagnosis for all of those regions in addition to the primary patient complaint he says that he would need more than 4 codes (1500 limit) to document this.
I think that if he uses the chief complaint as the primary diagnosis, then uses the last 3 codes for his manipulation regions (739._ series) that that would be enough as long as his documentation backs up his care for the patient.
Does this sound correct? If not, how in the world do I bill for the 12 diagnosis that he wants to use for each procedure?
Also, does anyone else's chiros do manipulation 3-4 regions on every patient? That seems extreme, but he says that he does provide this for every patient.
I finally convinced him that billing an office visit for every visit was probably not a good idea, because I don't believe that he spends any time except the manipulation time with the patient.
Anyone who can help clear this up for me, quickly, I would be very grateful.
Thanks
Cyndi Ploense, CPCDenali Medical Billing, Inc.
