Medical Insurance & Billing

Medical Insurance and Billing Information  

Medical Insurance & Billing

While Colon Hydrotherapy and Colonics are not accepted by all insurance carriers, many insurers will accept claims made by clients if accompanied by a prescription or letter of medical necessity from an authorized health care provider. Your Doctor, M.D., D.O., D.D.S., or Nurse Practitioner may agree to write a prescription or letter of medical necessity, if asked.

Atlanta Colonic & Massage does not directly accept insurance, clients claims for insurance or bill your medical insurance provider.

While Colon Hydrotherapy and Colonics are not accepted by all insurance carriers, typically, insurers may accept claims if accompanied by a prescription or letter of medical necessity from an authorized health care provider. Your Doctor M.D., D.O., D.D.S., or Nurse Practitioner may agree to write a prescription or letter of medical necessity.

We always recommend you pre-confirm coverage with your insurance plan provider.

If you intend to submit an insurance claim for services, we advise you to ask your physician or health practitioner for a prescription for Colon Hydrotherapy “as needed” or “as necessary to correct bowel response” (language which may increase the chance your claim will be accepted by an insurer) prior to receiving services. We also ask that you provide a copy of your prescription for our records.

ICD-9-CM codes are used throughout the healthcare industry to describe diseases, injuries, symptoms and conditions. CPT codes are used to describe medical and surgical services performed by healthcare providers. ICD-9-CM codes and CPT codes are inherently related, as the diagnosis (ICD-9-CM code) must support the procedure (CPT code). Therefore, Medical claims typically require a valid ICD-9-CM diagnosis code and a CPT procedure code in order to be reimbursed.

Note: Atlanta Colonic & Massage does not diagnose treat or prescribe for any medical condition or recommend treatment.

Common CPT Codes related to Colonics: (informational reference only)

• CPT 74283 Therapeutic Enemas – Colon
• CPT 97139c Unlisted Therapeutic Procedure (Removal of Impaction)
• CPT 45915 Removal of Fecal Impaction of Foreign Body
• CPT 45999 Unlisted procedure, Rectum or Anus
• Common ICD-9-CM Diagnosis Codes (564.0 Series) related to Colonics:
  (provided for informational reference only)
• 2011 ICD-9-CM Diagnosis Code 564.00
• Unspecified constipation
• Other forms of abnormal feces or difficult passage of feces.
• Condition in which bowel movements are infrequent or incomplete.
• Decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool and/or passage of excessively hard, dry stool.
• Constipation; irregular and infrequent or difficult evacuation of the bowels.
• 2011 ICD-9-CM Diagnosis Code 564.01
• Constipation: Slow transit constipation (also called colonic inertia)
• 2011 ICD-9-CM Diagnosis Code 564.02
• Outlet dysfunction constipation
• 2011 ICD-9-CM Diagnosis Code 564.09
• Other constipation

Effectiveness of Colon Hydrotherapy (Colonics)

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