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  • Posting Date: 11/11/2021
    Introduction to Chiropractic Services

    Medicare Coverage of Chiropractic Services Introduction to Chiropractic Services A chiropractor must be licensed or legally authorized to furnish chiropractic services by the state or jurisdiction in which the services are furnished. In [...]

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  • Posting Date: 04/23/2021
    Chiropractic Coverage

    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 [...]

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  • Posting Date: 11/11/2021
    Maintenance Care for Chiropractic Services

    Medicare Coverage of Chiropractic Services Maintenance Care for Chiropractic Services Medicare coverage for chiropractic services extends only to treatment by means of manual manipulation of the spine to correct a subluxation, provided such [...]

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  • Posting Date: 11/11/2021
    Medical Review Audits

    Medicare Coverage of Chiropractic Services Medical Review Audits Medicare contractors perform medical review audits to ensure Medicare is paying providers for appropriately covered Medicare services. Medical review examines documentation [...]

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  • Posting Date: 11/11/2021
    Modifiers

    Medicare Coverage of Chiropractic Services Modifiers AT Modifier Used to indicate that the covered services billed are for active corrective treatment and the provider’s documentation supports medical necessity and Medicare coverage [...]

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  • Posting Date: 11/11/2021
    Proper Billing for Acupuncture

    Medicare Coverage of Chiropractic Services Proper Billing for Acupuncture Decision Memo for Acupuncture for Chronic Low Back Pain (CAG-00452N) Reviewed 9/11/2024

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  • Posting Date: 11/11/2021
    Limited Coverage for Services Ordered or Furnished By a Chiropractor

    Limited Coverage for Services Ordered or Furnished By a Chiropractor This article is to remind chiropractors and facilities that X-rays and other diagnostic tests are statutorily excluded services when ordered or furnished by a chiropractor. [...]

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  • Posting Date: 11/11/2021
    Documentation to Support Spinal Manipulation for CPT Code 98942

    Documentation to Support Spinal Manipulation for CPT Code 98942 It is not uncommon for chiropractic doctors to perform a full-spine or multi-level manipulation, even when the symptoms or diagnosis reflect a single region. This is a matter of [...]

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  • Posting Date: 11/11/2021
    Advance Beneficiary Notice of Noncoverage Liability

    Medicare Coverage of Chiropractic Services Advance Beneficiary Notice of Noncoverage Liability The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, is a standardized notice that a health care provider/supplier or his/her [...]

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  • Posting Date: 11/11/2021
    Chiropractic Resources

    Medicare Coverage of Chiropractic Services Chiropractic Resources Code of Federal Regulations Code of Federal Regulations (Annual Edition) web page 42 CFR Section 410.21 describes limitations on services of a chiropractor 42 CFR [...]

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