Get the Complete Healthcare Practice Aduit Report

Please enable JavaScript in your browser to complete this form.
Name
Edit Template

Chiropractic Billing Codes A Complete Guide to CMT, ICD-10, and CPT Codes

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.

What Are Chiropractic CMT(CPT) Codes?

CMT codes describe spinal or extra spinal adjustments:

  • 98940: Spinal, 1-2 regions
  • 98941: Spinal, 3-4 regions
  • 98942: Spinal, 5 regions
  • 98943: Extra spinal (e.g., shoulder, knee)

Example: A patient with mid-back and neck pain? Use 98941 (3-4 spinal regions).

Common Chiropractic Therapy Codes

Pair CMT with these CPT codes for comprehensive care:

  • 97110: Therapeutic exercise
  • 97112: Neuromuscular re-education
  • 97124: Therapeutic massage
  • 97014/97032: Electrical stimulation (unattended/manual)
  • 97010: Heat/cold therapy

Chiropractic ICD-10 Codes

Link billing to medical necessity with precise diagnoses:

  • M54.5: Low back pain
  • M54.2: Cervicalgia (neck pain)
  • M99.01: Segmental dysfunction (cervical)
  • S13.4: Whiplash injury

Pro Tip: Avoid generic codes like M54.9 (unspecified back pain) to reduce audit risks.

Chiropractic Billing Cheat Sheet

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

Chiropractic Billing Codes – Tips & Advice

When it comes to billing for chiropractic offerings, accuracy is fundamental. The following tips can help streamline the procedure:

  1. Stay Updated on Codes: Insurance agencies regularly update their policies and codes, so make certain you use the most up-to-date CPT codes for your claims.
  1. Use Clear Documentation: It’s important to document thoroughly for services like spinal manipulations or X-rays, especially when using complex codes such as the chiro code CPT 77073 description.
  2. Know Insurance Policies: Insurers, such as Cigna, may have specific coding requirements for payments. For instance, understanding the Cigna CPT code for chiro payment is essential to avoid claim denials.
  3. Partner with a Chiropractic Billing Company: A chiropractic billing company can help manage your claims, ensuring timely payments and reducing the chances of errors.

About Us

Our goal is to streamline your healthcare revenue cycle management, give you the financial freedom your practice deserves, and take control with a partner specializing in provider RCM optimization and services excellence. 

Our Services

Company Info

Access essential company data with a simple click through the 'Download Company Info' feature.

Let's Talk

+1 (917) 994-9941

3811 Ditmars Blvd# 1124,

Astoria, NY 11105

5 Tips for Accurate Billing

  • Document regions treated (e.g., cervical, lumbar).
  • Link ICD-10 codes to CMT/CPT for medical necessity.
  • Avoid upcoming (e.g., billing 98942 for 3 regions).
  • Use modifiers (e.g., -AT for active treatment).
  • Stay updated on annual CPT changes

Modalities

Chiropractic care often involves modalities that require separate CPT codes, which can include:

  • 97010: Application of hot or cold packs.
  • 97035: Ultrasound therapy, used to promote healing in soft tissue injuries.
  • 97016: Vaso pneumatic devices for compression therapy.

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.

Conclusion

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.

Discover Cures Medical Billing Services Across Different States

Your Success Is Our Success

We are a team of national medical billing service experts based in Astoria, NY, committed to providing ongoing value to our customers. We leverage technology and implement best practices to provide high-quality and cost-efficient medical billing solutions from domestic locations, enabling customers to achieve their business goals. Cures Medical Billing is the best option for any medical billing needs.

Medical billing around Astoria, NY, and beyond is our core competency and our specialists will efficiently manage all your billing needs. Our medical billing specialists have over 12 Plus years of experience with all security technologies to ensure data integrity for our customers. Using our medical billing service, anyone can make their medical billing task less resource-consuming.

Start free 30 Days Trial Now

Contact Our RCM

Our Services

Health services billing effortlessly with Cures MB. Our skilled professionals are dedicated to ensuring financial success through transparent and secure practices. Trust Cures MB for precise and careful handling of all your billing needs.

  • All Post
  • Medical
  • Uncategorised
Mange your prior authorization services

December 4, 2023

Prior-authorization process in healthcare is a crucial step to ensure that medical procedures are covered by a patient’s insurance. It involves...

Denial Management Services

December 5, 2023

CuresMB ensures you can get professional denial management solutions suited to your region’s requirements. Regardless of the size of your healthcare...

Accounts Receivable Services

December 6, 2023

our compelling accounts receivable solutions, you can streamline your billing and collections procedures. Our staff uses cutting-edge methods and technology to...

Patitent billing and inquries

December 7, 2023

Cures Medical Billing provides all-inclusive patient billing and revenue cycle management services for healthcare facilities. Cures Medical Billing service aims to...

Load More

End of Content.

© 2024 Created Cures Medical Billing Solutions, All copyrights Reserved