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Bellevue Massage Therapists

Photo of Cassandra, LMP

Cassandra Espinoza, LMP

Please help us welcome our new massage therapist, Cassandra Espinoza!

Her Bio is coming soon.


Medical/treatment Massage vs. Wellness/relaxation Massage

Medical/treatment Massage:

In our office, we work with many patients who have a medical prescription for massage therapy for treatment of a specific medical condition. Medical Massage is defined as: “A treatment with the intent of improving conditions or pathologies that have been diagnosed by a physician; this procedure is utilized to focus the treatment based on the diagnosed condition.” It is a treatment that is directed by the referring doctor and carried about by our licensed massage therapists. Our massage therapists are responsible for tracking and reporting progress, treatment goals, pain levels etc. back to the referring physician and must establish medical necessity for the service provided to be billable to any insurance company. We accept some medical insurance for this and we also work with auto insurance companies as well as Labor and Industries. Please be aware, medical/treatment massage is not always comfortable and differs greatly from spa massage you may have received previously. The massage therapists will work with you to try and get the best therapeutic results possible, without causing too much pain or discomfort. Medical massage is not the same as a spa massage and in order to rehabilitate or treat an injury effectively, there may be some discomfort during the session or some muscle soreness for a day or so after your treatment and this is completely normal and to be expected to get the desired treatment results.

The CPT (Current Procedural Terminology) code used for a medical massage in our office is 97124. The rate billed to insurance is $45.75 / unit. There is a maximum of 4 units billed per day.

Wellness/relaxation Massage:

This is the category of massages that we offer that are not doctor directed and do not require a medical prescription. There is a wide variety of massage types that our therapists are trained in. The distinct difference with a wellness massage that differs from a medical massage in this office is that a wellness massage does not require a specific diagnosis, there is often not a treatment plan or medically necessary goals, there is not a need for a care plan and there is no limitations to the number of sessions one has because this service is elected at the discretion of the patient. The patient will consult with the massage therapists and direct the massage to their liking, unlike a medical massage where the massage therapists must follow the prescribed diagnosis/area of complaint and treatment plan. This type of massage is more what you would expect to get from a spa and goals are primarily to relax, reduce stress and tension, and enjoy the massage session.

There is no CPT code for a wellness massage. They are not billed to any type of insurance. We cannot bill health or auto insurance for a wellness/relaxation massage. Even if a patient has health insurance, we will not bill a wellness massage to their health or auto insurance company because a) medical massage is a different and unique service & b) medical massage requires a doctor’s prescription. Please make note that your receipt will clearly state no diagnosis or CPT code and therefore may not be reimbursable by an HSA/FHA account if they require an itemized receipt with diagnosis and CPT code to be an eligible expense. Once again this is an elective wellness service, not a medically necessary service.

We understand the definition of WAC code: 246-808-545. We are fully compliant with all WAC sections issued by the CQAC. There is a distinct difference between a medical massage and a wellness massage within this clinic. This is why the charges are as differentiated as follows:

Wellness/relaxation Massage: $85/hour

Medical/treatment Massage (CPT 97124): $45.75/unit (One unit equals: 8-22 minutes) (Two units equals: 23 minutes โ€“ 37 minutes) (Three units equals: 38 โ€“ 52 minutes) (Four units equals: 53 minutes โ€“ 67 minutes)


Call Bellevue Chiropractic to schedule your massage therapy appointment today – (425) 637-0094

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