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Changes in Reimbursement for Massage Therapy Services

Date:
November 13, 2019

To: Licensed Massage Therapists

Contracts Affected: Members with a benefit rider that includes coverage for massage therapy 

Effective December 1, 2019, BlueCross BlueShield of Western New York is changing the process for how massage therapy services should be submitted for processing.  For dates of service December 1, 2019 and forward, massage therapy services, CPT code 97124, will be reimbursed based on a per unit basis.

We want to help you understand our payment for the Massage Therapy procedure, as well as any modalities. Please consider the following:

  • We reimburse per unit for the therapy service according to our fee schedule. This includes the application of a modality.
  • The appropriate Current Procedure Terminology (CPT) codes for Massage Therapy services are:
Description CPT Code
Therapeutic procedure, one or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) 97124
Treatment and Therapy Modalities (no separate reimbursement)    97010-97140

To verify that your patient has this benefit, please log into HEALTHeNET.

Fee schedules can be viewed by logging into our secure provider portal on our website. For more information, please contact Network Management at 1-800-666-4627

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