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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: Nov 10

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? 1 Reply

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. Last reply by Eeris Kallil CMT Nov 10.

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 November 10, 2015 at 11:12am
I personally always use code 97140 and I include my soap notes with each bill
Comment by Jody C. Hutchinson on November 10, 2015 at 10:16am

97112 is NMR, not really within the scope of most MTs.  This is usually used by PTs for exercise.

You should bill with the diagnosis code from the RX.

Comment by erica ragusa on November 10, 2015 at 3:28am
I've billed to USAA on one occasion and was reimbursed. I used code 97140 and received prior authorization.
Comment by Eeris Kallil CMT on November 10, 2015 at 12:46am

Does anyone else have a hard time getting paid for PI clients with USAA? any tips on how to deal with them and how to appeal? they refuse to pay for code 97112 and when I changed to 4 units of 97124 they say its a duplicate. they are also refusing to pay for massage passed 12 weeks post accident!

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.


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