Massage Therapy to Gain Licensure in Montana
Beginning July 1, 2010, massage therapists will be licensed by the state of Montana. House Bill 662 will regulate the massage therapy profession. For more information regarding this bill go to http://data.opi.mt.gov/bills/2009/billpdf/HB0662.pdf.
All massage therapists will need to apply for an NPI (National Provider Identification) number and taxonomy.
Massage therapy services and all physical medicine services must be prescribed by the injured employee’s treating physician. Pre-authorization is strongly recommended prior to initiating services for an injured employee. Helpful hints to prevent denials for massage therapy:
- Obtain pre-authorization from the claim examiner assigned to the claim.
- Services must be billed on a CMS 1500 form.
- Field24: ID Qualifier – ‘blank’ and preprinted ‘NPI’ space. Blank space should be populated with ZZ for taxonomy code list in 24J.
- Field24J: Rendering Provider ID # – If blank 24I is populated with ZZ, enter 10-character taxonomy code without spaces in the second box. The taxonomy code for massage therapy is 225700000x.
- Codes that may be billed for massage therapy:
- 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.
- 97010: Application of modality to one or more areas hot/cold packs.
- Documentation must be submitted to support the services billed. Please include the following in your documentation:
- Part(s) of body treated. The services rendered must be related to the injury of record in order to be compensable by MSF. Pre-authorization does not guarantee payment if treatment is not related to the injury. If you are unsure of what the injury/part of body is, contact the claim examiner.
- The injured employee’s response to treatment (improvement, worsening, etc.).
- A plan of care, if applicable
- Total time spent treating the injured employee.
- Your signature for each date of service. Each date of service must stand on its own to support payment.