By W. Bruce Milliman, ND (AMA - CPT/Editorial Panel/HCPAC, representing the AANP)
We are happy to report that after our first article written in the AANP eNews last month, inquiries were made with regard to CPT coding around manipulation codes. We thought we would use the questions brought forth to discuss this code set. At this point in time Naturopathic Physicians in Washington State are restricted by law from the use of chiropractic codes. Variations of this problem exist in other states. As a consequence, ND's use either Physical Therapy codes (7010-97546) or Osteopathic codes (98925-98929). Alternatively, some practitioners bundle the procedure into an Evaluation and Management visit (99201-05/99211-15). Since there are many types of manipulation and only a few coding options, the existing codes may not allow for accurate (or any) coding for certain forms of manipulation (for example, craniosacral therapy).
This is a great opportunity to discuss development and introduction of new, more appropriate CPT codes for consideration by the Editorial Panel. In developing new Category I codes the CPT Advisory Committee and the CPT Editorial Panel require: