What does Medicare pay Chiropractors for?
National policy limits the coverage of chiropractic services to the “hands-on” manual manipulation of the spine (98940, 98941, or 98942) for symptomatology associated with spinal subluxation. Accordingly, CPT code 98943, CMT, extraspinal, one or more regions, is not a Medicare benefit. Manual devices (i.e., those that are hand-held with the thrust of the force of the device being controlled manually) may be used by chiropractors in performing manual manipulation of the spine. However, no additional payment is available for use of the device, nor does Medicare recognize an extra charge for the device itself.
Step 1: Subluxation
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Step 2: Secondary Diagnosis Requirement
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Step 3: Medicare Modifiers
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