Billing and coding for osteopathic manipulative treatment

J Am Osteopath Assoc. 2009 Aug;109(8):409-13. doi: 10.7556/jaoa.2009.109.8.409.


Some osteopathic physicians are not properly reimbursed by insurance companies after providing osteopathic manipulative treatment (OMT) to their patients. Common problems associated with lack of reimbursements include insurers bundling OMT with the standard evaluation and management service and confusing OMT with chiropractic manipulative treatment or physical therapy services. The authors suggest methods of appeal for denied reimbursement claims that will also prevent future payment denials.

MeSH terms

  • Fees and Charges*
  • Forms and Records Control
  • Humans
  • Insurance, Health, Reimbursement* / economics
  • Manipulation, Osteopathic / economics*
  • Missouri
  • Musculoskeletal Diseases / economics
  • Musculoskeletal Diseases / therapy*
  • Osteopathic Medicine / economics*
  • Osteopathic Physicians / economics*
  • Osteopathic Physicians / trends
  • Practice Management, Medical / economics
  • United States