In the field of chiropractic CPT codes can be difficult, but it’s essential to make sure right compensation and compliance within a chiropractic practice. Navigating chiropractic billing can be tricky. This guide simplifies CPT codes like 98940-98943 (CMT), ICD-10 diagnosis codes, and common therapy codes to ensure accurate claims and fewer denials.
CMT codes describe spinal or extra spinal adjustments:
Example: A patient with mid-back and neck pain? Use 98941 (3-4 spinal regions).
Pair CMT with these CPT codes for comprehensive care:
Link billing to medical necessity with precise diagnoses:
Pro Tip: Avoid generic codes like M54.9 (unspecified back pain) to reduce audit risks.
Save this quick reference:
Service | CPT Code |
Spinal Adjustment (1-2 regions) | 98940 |
Spinal Adjustment (3-4 regions) | 98941 |
Therapeutic Massage | 97124 |
Electrical Stimulation | 97032 |
When it comes to billing for chiropractic offerings, accuracy is fundamental. The following tips can help streamline the procedure:
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Chiropractic care often involves modalities that require separate CPT codes, which can include:
By the usage of those chiropractic billing codes efficiently, practices can ensure they’re reimbursed for all services supplied, improving the financial health of the practice.
In the end, chiro CPT codes are essential for the financial success of any chiropractic practice. Whether you’re coding for evaluations, treatments, or specific procedures like CPT code for narrative report NY chiro, staying updated is crucial. By understanding and applying the correct CPT codes for chiro, partnering with a trusted chiropractic billing company, and following best practices for documentation and modifiers, your practice can optimize reimbursements and minimize claim rejections.
Chiropractors often use CPT codes 98940, 98941, and 98942 for Chiropractic Manipulative Treatment (CMT).
Absolutely! ICD-10 codes explain why the treatment was needed. For example, if a patient has lower back pain, you might use M54.5. These codes must match the treatment to justify medical necessity for insurance companies. Without the right ICD-10 code, even a perfect CPT code might get denied.
CMT stands for Chiropractic Manipulative Treatment it’s the hands-on spinal adjustment chiropractors provide. In billing, CMT services are represented by CPT codes based on how many spinal regions are adjusted. These are your bread-and-butter codes, so it’s important to document clearly to support them.
Yes, they can! Chiropractors may also bill for exams (99202–99204), therapies like manual therapy (97140), or even modalities like electrical stimulation (97014). Just remember that payers have strict rules some services might require modifiers or special documentation.
The most common reasons include:
The AT modifier tells Medicare and some payers that the treatment was active meaning it’s medically necessary, not just maintenance care. Without the AT modifier, Medicare will usually deny the claim. So, if you’re doing active treatment to correct a condition, don’t forget to add AT to your CMT codes!
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