Billing & Coding: How to Bill Chiropractic Telehealth Services

Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your bills paid is what we do best!

Can chiropractors bill for telehealth services? The answer is, YES; however, knowing your state, local and payer rules is crucial to submit accurate claims.

Telehealth includes video/audio communication between the health care provider and patient (real-time or recorded for evaluation at a later time).

Doctors of chiropractic can use telemedicine for communicating with patients to:
Discuss symptoms
Prescribe exercises
Modify behaviors that may be worsening pain
Provide advice on self-management strategies that can be done at home
Assess patient’s progress
Provide follow-up treatment
Answer patients’ questions

Telemedicine CPT codes 99421-99423 can be used for services provided to established patients who have not had in-office Evaluation and Management (E/M) services billed by the same provider within the same 7-day period.

Telephonic E/M services (CPT codes 99441-99443) can be provided in cases where it is medically appropriate for the patient to be evaluated and managed by telephone.

Code “02” indicates that the E/M service was performed via telehealth with modifier 95 appended to the code.

Billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution.

H.J Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.