At MSM, we are an out-of-network provider. While we do not directly accept insurance, you can use your Health Savings Account (HSA) or Flexible Spending Account (FSA) to cover our services.

Your HSA and FSA work like debit cards and can be used for health-related expenses. Here’s a step-by-step guide on how to use them for our services:

1. Receive Your Receipt: After every transaction, we send out a receipt that includes our National Provider Identifier (NPI) number and the Current Procedural Terminology (CPT) code, which is recognized as neuromuscular therapy treatments.
2. Create a File: Keep all your receipts in a designated file, such as a "Medical Massage File."
3. Submit Receipts: If your insurance provider requests a receipt, you can easily provide it from your file.

When a physician refers a patient to us, we receive a physician referral work order via fax. This order includes the patient's name, history, and an ICD (International Classification of Diseases) code, which diagnoses the problem.

1. Receive the Order: We contact the patient to confirm receipt of the order and schedule an appointment.
2. Direct Payment: The patient pays us directly for our services.
3. Reimbursement: The patient uploads the physician referral and our receipt to their insurance provider for reimbursement.

To determine if your insurance plan covers massage therapy, call your provider and ask if they cover the CPT code 97140. Physical therapists, chiropractors, and medical-massage therapists use this code for neuromuscular therapy treatments.

Ask your insurance provider if there is a copay or deductible for massage therapy services. Generally, you will need to pay your copay before reimbursement. For example, if you have a $5,000 deductible, the money you spend at Medical and Sports Massage will contribute to that sum. Once you reach your deductible, you will be reimbursed for your services.

It depends on your insurance plan. Some insurance companies require a referral from your doctor to cover massage therapy. If you want your massages covered by insurance, you should check with your insurance company. Typically, insurance companies require a diagnosis code (ICD code) from your physician to process the claim. It is standard for insurance plans to cover up to 36 sessions of neuromuscular therapy (CPT code 97140) per year.

All medical massages are covered under insurance policies using the CPT code 97140. This includes:

• Neuromuscular therapy
• Deep tissue massage
• Cross-fiber friction
• Lymphatic drainage
• Contrast treatments
• Graston technique
• Medical cupping
• Restorative modalities
• Cranial sacral therapy