Medicare for Chiropractic Billing

Steve Baek DC

Steve Baek DC

Founder/Owner at Prabill

Medicare guidelines for chiropractic service specifically limits to treatment by means of transmission manipulation, for case, by use of hands. Chiropractors employ in performing transmission manipulation of the spine. However, no additional payment is out there to be used for the device, nor does Medicare recognize an additional charge for the device itself.

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A physician preparing a medical billing

Medicare limits coverage of chiropractic services to treatment by manual manipulation, by use of the hands, of the spine to correct a subluxation. The patient must crave treatment by means of manual manipulation of the spine to correct a subluxation, and therefore the manipulative services the doctor of chiropractic provides must have a direct therapeutic relationship to the patient's status and supply reasonable expectation of recovery or improvement of office. The doctor of chiropractic is using manual devices (people who are paw-holding with the thrust of the force of the device decision-making it manually) in performing transmission manipulation of the spine. Notwithstanding, Medicare makes no boosted payment for the device, nor does Medicare recognize an additional accuse for the device itself.

A doctor and a patient discussion on medical billing

A medico and a patient discussion on medical billing

How Chiropractors Comply with Medical Billing?

Doctors of chiropractic limits to billing three Current Procedural. Terminology (CPT) codes under Medicare: 98940 (chiropractic manipulative treatment; spinal, 1 to two regions), 98941 (three to four regions), and 98942 (five regions). When submitting manipulation claims, doctors of chiropractic must use an Acute Handling (AT) modifier. To identify services that are active/corrective treatment of an acute or chronic subluxation. The AT modifier, when used appropriately, should indicate an expectation of functional improvement. No matter the chronic nature or redundancy of the matter.

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