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

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

Justin Kennedy
Nurse Manager

Shannon Hadley
Provider Relations Specialist

Kym Vonada
Medical Auditor

Annalyn Stewart
Medical Payment Auditor

Sheryl Semans
Pharmacy Liaison

Susan Bomar
Medical Payment Auditor

Cindy Gallus
Medical Customer Service Liaison

Sherri Sprenger
Medical Customer Service Liaison

Shannon Mergenthaler
Medical Customer Service Liaison

Maggie Pentecost
Medical Customer Service Liaison

Jamie Statton
Medical Customer Service Liaison

Website Information

Montana State Fund

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)