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Part B Medicare Coverage of Chiropractic Services
- Comprehensive Error Rate Testing
- Introduction to Chiropractic Services
- Chiropractic Coverage
- Maintenance Care for Chiropractic Services
- Medical Review Audits
- Modifiers
- Advance Beneficiary Notice of Noncoverage Liability
- Chiropractic Resources
- Proper Billing for Acupuncture
- Comprehensive Error Rate Testing Program
- Related Articles
Medicare Coverage of Chiropractic Services
Chiropractic Coverage
Medicare pays chiropractors for spinal manipulation CPT codes 98940–98942, when these services are reasonably and medically necessary and meet all Medicare coverage guidelines as set forth in the CMS IOMs.
- 98940: CMT; spinal, 1‒2 regions
- 98941: CMT; spinal, 3‒4 regions
- 98942: CMT; spinal 5 regions
- 98943: CMT; extraspinal, 1 or more regions
Note: CPT code 98943, CMT, extraspinal, one or more regions, is not a Medicare benefit.
Reviewed 9/11/2024