Massage (California)

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Massage (California)

Postby vampireinthenight on Fri Feb 02, 2018 2:20 pm

Been so long since I looked this up. Is massage considered physical therapy for purposes of the 24 visit caps?
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Re: Massage (California)

Postby LawAdvocate on Mon Feb 05, 2018 12:14 pm

Maybe, a procedure is defined by the practitioner providing the service. So if the massage was done by a physical or occupational therapist, cap applies. If massage was done by a massage therapist no cap applies.
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Re: Massage (California)

Postby vampireinthenight on Tue Feb 06, 2018 9:08 am

Oh, interesting, I hadn't thought of it like that. Makes sense.
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Re: Massage (California)

Postby mytwocents on Fri Feb 09, 2018 3:00 pm

Only certain licensed practitioners are allowed to treat in WC cases (LC 3209.3 et seq.): physicians and surgeons holding an M.D. or D.O. degree, psychologists, acupuncturists, optometrists, dentists, podiatrists, and chiropractors. Marriage and family therapists and clinical social workers can treat subject to certain restrictions. For all of these providers, the treatment has to be within the scope of their practices. However, anyone can treat if the parties agree to it in writing. In the absence of a written agreement, an employer/carrier is under no obligation to pay for a massage therapist. I don't know if an M.D. could get around this by hiring a massage therapist to give massages in his office. I don't think a dentist could do it because it wouldn't be within the scope of his practice.
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Re: Massage (California) (California)

Postby chirple on Sat Feb 10, 2018 9:53 am

Sorry - removing duplicate
Last edited by chirple on Sat Feb 10, 2018 9:54 am, edited 1 time in total.
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Re: Massage (California) (California)

Postby chirple on Sat Feb 10, 2018 9:53 am

Sorry - removing duplicate
Last edited by chirple on Sat Feb 10, 2018 9:55 am, edited 1 time in total.
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Re: Massage (California)

Postby chirple on Sat Feb 10, 2018 9:53 am

Chiropractors and physical therapists can, and do, bill for massage:

97124 -Therapeutic Procedure, 15 minutes. One or more areas, including effleruage, pettrissage and/or tapotement, compression, percussion.

97140- Therapeutic Procedure, 15 minutes. Mobilization, manipulation, manual lymphatic drainage, manual traction, one or more regions.

97122- Therapeutic Procedure, 15 minutes. One or more areas, Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture and proprioception.

97010 – Hot/Cold Packs
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Re: Massage (California)

Postby vampireinthenight on Mon Feb 12, 2018 9:29 am

Thanks, that's interesting. I didn't know massage therapists needed a written agreement. You think the massage therapist could do it if it is through a chiro or MD? It seems like there would need to be an enabling section similar to 3209.10.
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Re: Massage (California)

Postby mytwocents on Mon Feb 12, 2018 11:05 am

I realize now I neglected to mention that physical therapists, physician assistants and nurse practitioners are also included in LC 3209.3 et seq. There's a big difference between training and skill of a physician's assistant or nurse practitioner, on the one hand, and a massage therapist on the other. I got curious and looked up the qualifications for massage therapists in CA. There is apparently no official state licensure or certification, although there is an organization that certifies massage therapists on a voluntary basis.
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Re: Massage (California)

Postby vampireinthenight on Tue Feb 13, 2018 9:58 am

Is there a separate fee schedule for a massage therapist or does it always fall under one of the other professionals?
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