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Massage Insurance Billing


Massage Insurance Billing

All about billing insurance companies for massage services. What states can you bill for mva's, work injuries, PPO's, HMO's? What is required in each state or even city?

Members: 139
Latest Activity: Aug 18

Massage Insurance Billing

I have been billing insurance since the beginning of my career which started in 1989. I am not an expert but do know a fair amount about it. The thing is that there are so many differences in each state and in each city and even each insurance plan it can be overwhelming. I have used insurance billing through my career to keep it stable. Yes there are difficulties in getting paid but I found that the more I knew the better I was able to weed out problem cases and set boundaries around working with people and their insurance companies. I am starting this group to allow people to share their insurance billing tips, classes and information.

Please start a discussion topic and use your state/city in the heading and share information on what massage insurance billing you are able to do in your area.  Thanks Julie

Discussion Forum

ICD-9 code: is it needed?

My thought is that we do as LMT's need an ICD-9 code from a referring physician in order to bill for massage therapy.  Is this correct?  I recently received a script from a physician referring his…Continue

Started by erica ragusa Nov 19, 2014.

Hiring a Medical Biller 6 Replies

I am looking to "hire" a medical biller to bill insurance for my practice. I am a one man show…Continue

Started by Trina Throckmorton. Last reply by erica ragusa Oct 1, 2014.

What states/cities, insurance plans can you bill in your state? 9 Replies

One of the most common questions I get is what insurance company can I bill?In Most states you can bill for car accidents and work related injuries but there are certain rules in some states like…Continue

Started by Julie Onofrio. Last reply by Julie Onofrio Apr 11, 2012.

WA Massage Insurance Billing

In WA we can bill for car accidents and for work related injuries through Labor and Industries.You can sign up to become a provider with L&I here -…Continue

Started by Julie Onofrio Mar 24, 2012.

Comment Wall


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Comment by erica ragusa on October 1, 2014 at 6:22pm

Hi Eeris the going rate for $35 for 15min for 97140

Comment by Eeris Kallil CMT on October 1, 2014 at 5:12pm

I was curious to what is the going rate for insurance billing per 15 min for  code 97124  and 97140?

Does anyone know what is the usual customary rate for massage in CO?

Comment by Alisa Miller on January 18, 2013 at 12:40pm

How can I find out the South Dakota laws and insurance company that will allow massage therapist to bill with a prescription or referral? I have in the past billed a car insurance company with a referral from a chiro. But I have yet to bill any other way and I am not sure if we are allowed to...any help is appreciated.

Comment by Rachel Sheard, LMT, NCTMB, CIPI on May 29, 2012 at 3:34pm

Thanks Michelle. I found an edit-able PDF SOAP note form from Cherie Sohnen-Moe's website that has been working well for me. I just keep all my client charts on a flash drive, so that I can take that with me and access it on any computer, with or without internet. There are LOTS available:

Comment by Michele Durbois,LMT, NCBTMB on May 26, 2012 at 7:11am

To Rachel Sheard, Try checking out I have herd of therapist using this site for soap notes with success.

Comment by Janet Seeley on February 18, 2012 at 1:51am

@erica ragusa...yes, work on the neck. Remember that there are attachments  to the traps in the sub-occipital region. I would generally almost always work the neck when there is shoulder pain in the upper traps, or levators. I'd probably throw in some scalene work, too, just in case.

Comment by erica ragusa on February 17, 2012 at 11:48pm

Within insurance billing for medical massage, I know that we can only work within a doctor's prescription.  However, how do we proceed when the prescription calls for manual therapy to the patient's shoulder, and the patient complains of pain radiating up his neck (ie, his upper trapezius).  Can we massage the neck as well? 

Comment by Kim Savoie on February 6, 2011 at 9:58pm

Looking for M.T.'s to partake in a test pilot home study course.

Pediatric Massage for Children with Special Needs

NCBTMB approved provider

Special promotional fee: $200

Price includes: 20 CE's, book, test, s&h, and evaluation form.


For more information about the course visit Touch-For-Life.Com

Thank you for your help.

Kim Savoie

Touch For Life Massage & Wellness Studies

Hilton Head Island, SC 29928


Comment by Rachel Sheard, LMT, NCTMB, CIPI on December 11, 2010 at 11:22pm
Has anyone heard of/used Wincity SOAP notes software, or have another software to recommend? I'm still handwriting all of mine, and feel ready to step it up,
Comment by Julie Onofrio on November 28, 2010 at 4:13pm
If you want to start billing insurance I have alot of free information on how to do it. Start with figuring out if it will be profitable for you by figuring out your cost per client and how taking insurance would help your business. Find someone in your area who is doing billing and ask them to teach you how. Basically it is learning about billing and working with insurance companies and lawyers and learning what to ask and who to ask what so that you can learn to screen your cases and weed out those trouble cases and make ins. billing easier.

Vivian is also a good resource.

If you have specific issues about billing start a new discussion above!


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