Welcome to our community of massage, bodywork and reflexology practitioners. Therapists, if it's been more than two weeks, it's time for your massage.
You might want to check out http://www.sohnen-moe.com/forms.php for HCFA forms so you won't have to send in a "homemade" one. You can print them out and send them in handwritten if you need to; they will still get processed and it will be easier to get paid.
As for cpt codes, Massage and Bodywork magazine usually prints them in the first issue each year. If you have them for 2004, you might want to take a look through them, but I did find a listing here http://www.thebodyworker.com/insbillcodes.html by doing a search on yahoo. BTW, as an MT, we are not allowed to diagnose, so make sure you get the diagnosis from the client's physician. (But, I'm sure you already knew that...)
Hope that helps you...
I have the most common CPT codes listed on my website at
along with other information on billing insurance companies at
You should also use a HCFA 1500 to bill. You can get them at office supply stores or at places like www.massagecpt.com
You have to charge insurance companies the same rates as you would if a client were paying cash for the same service. Say you are billing 97124 - therapeutic massage which is a 15 min. increment. If your hourly rate is $100 for your cash clients that would break down to $20 per unit. It is illegal to bill more for the same code than you charge your cash clients...
According to the Inspector General's Office of the United States, it is NOT ILLEGAL to charge a different amount for cash v. insurance. The delivered a decision that stated that it was two different products being sold. With a cash client your reposibility ends when the client leave your office. (They come in receive massage, pay, and leave) When a patient comes in you have to verify insurance coverage, do the massage, do all your paperwork, bill, await payment (and even face the fact you might not get paid) and possible court appearance).
Please research this for yourself. For some reason this has been passed around from therapist to therapist and it keeps a lot of therapist from doing insurance work. I know there are people reading this and thinking 'this is wrong, I was told ....."
I felt the same way as IsHisBiz, Why shouldn't I be compensated for the extra time I put in with this patient. When I asked a lot of therapist told me it was illegal and/or unethical to charge more just because they had insurance. That wasn't the reason I wanted to charge more, it was because of the extra time I put into that session and the chance that I would not be paid (which is a risk with insurance work) So I had my attorney do some research and he showed my the decision. Check it out for yourself.
I took a class a few years ago from Diana Thompson, author of "Hands Heal" and she said specifically that it is illegal to charge the different fees for the same cpt code - if you have a cash client who you are doing massage on (97124) you have to charge them what you charge for 97124... You can add an additional and resonable fee to cover whatever charges you would pay to an insurance billing company to do the billing (which at the high end would be approx. $7.00)
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