Provider Connection

CPT Codes for Massage Therapists

Based upon the Scope of Practice defined for massage therapy by the Montana Board of Massage Therapy, a licensed* Massage Therapist may bill the following codes:

  1. 97124 – Massage, including effleurage, petrissage and /or tapotement (stroking, compression, percussion) each 15 minutes (each 15 minutes = 1 unit). No more than three 15-minute units in one day can be billed without prior authorization. Time must be documented in the note.
  2. 97010 – Application of a modality to one or more areas; hot/cold packs.

Time spent providing massage needs to be documented in the record. 97010 does not have a time element attached to it and may be billed only once (one unit of service) regardless of the number of areas applied.

*MSF requires current licensure for massage therapists providing services for MSF injured workers. In addition, they must also apply for an NPI number through NPPES in order to submit a bill for payment.

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Bill Status – 1-866-274-7464

Main Phone Number 406-495-5000 or 800-332-6102

Main Fax  406-495-5020

Medical Team – 406-495-5011

Submit your Claims and/or Correspondence To
Montana State Fund
PO Box 4759
Helena, MT  59604

RMS (Bill Status)
Phone  866-274-7464
Email customer.care@risingms.com

For questions about information in this bulletin, call 800-332-6102 and ask for a member of the Medical Team.
For questions about Advanced Nurse Review contact Kym Vonada at 406-495-5389.


Medical Team

Michele Fairclough
Medical Team Leader
406-495-5362

Justin Kennedy
Nurse Manager
406-495-5417

Shannon Hadley
Provider Relations Specialist
406-495-5245

Kym Vonada
Medical Auditor
406-495-5389

Annalyn Stewart
Medical Payment Auditor
406-495-5367

Sheryl Semans
Pharmacy Liaison
406-495-5010

Susan Bomar
Medical Payment Auditor
406-495-5271

Cindy Gallus
Medical Customer Service Liaison
406-495-5189

Sherri Sprenger
Medical Customer Service Liaison
406-495-5420

Shannon Mergenthaler
Medical Customer Service Liaison
406-495-5185

Maggie Pentecost
Medical Customer Service Liaison
406-495-5322

Jamie Statton
Medical Customer Service Liaison
406-495-5386

Website Information

Montana State Fund montanastatefund.com

Department of LaborDepartment of Labor and Industry (DLI) website.
The website includes the Facility and Non-Facility Fee Schedule information as well as the Administrative Rules of Montana (ARM) and the instruction set for the Non-Facility Fee Schedule. Historical fee schedule information can also be found on this website.

If you have questions regarding the fee schedules call 406-444-6530 and someone will direct you to a DLI representative. For NPI information click here National Plan and Provider Enumeration System (NPPES)