Optum Changes Policy on Using Modifier with 98943-51
Written by Edior   
Tuesday, October 14, 2014 10:34 AM

In Optum's quarterly newsletter, Optum Physical Health News, the company announced a change to its long-standing policy requiring modifier -51 be appended to 98943 when billed with spinal CMT codes 98940-98942. The newsletter states:

"Effective July 16, 2014, Optum will no longer require modifier -51 be appended to extra-spinal chiropractic manipulative treatment (CMT) procedural code (98943) when billed on the same date of service as spinal CMT code (98940-98942)." Please note that the new policy became effective on July 16.

Source:  ACA:  In Touch, September 2014