HighMark BCBS: reimbursement for massage therapy services

Are you a provider of the following specialties: chiropractor, PT, physiatry, OT? Then this blog post is for you!


What is changing?

  • For any DOS 10/26/26 and thereafter massage therapy services (code 97124) will no longer be separately reimbursed when billed by the specialists listed above
  • The massage therapy services will only be reimbursed by massage therapists
  • This change applies to Medicare Advantage and Commercial Plans

Additionally providers need to make sure that when billing the code 97140 – manual therapy – the services meet the definition of the code/criteria of the services.


Find this information useful? Follow my blog!


Need medical billing and coding reference guides? Click here to buy!


Leave a comment