Medicare for Chiropractic Billing
Medicare guidelines for chiropractic service specifically limits to treatment by means of manual manipulation, for example, by use of hands. Chiropractors employ in performing manual manipulation of the spine. However, no additional payment is out there to be used for the device, nor does Medicare recognize an additional charge for the device itself.
Medicare limits coverage of chiropractic services to treatment by manual manipulation, by use of the hands, of the spine to correct a subluxation. The patient must require treatment by means of manual manipulation of the spine to correct a subluxation, and therefore the manipulative services the doctor of chiropractic provides must have a direct therapeutic relationship to the patient’s condition and supply reasonable expectation of recovery or improvement of function. The doctor of chiropractic is using manual devices (people who are hand-holding with the thrust of the force of the device controlling it manually) in performing manual manipulation of the spine. However, Medicare makes no additional payment for the device, nor does Medicare recognize an additional charge for the device itself.
How Chiropractors Comply with Medical Billing?
Doctors of chiropractic limits to billing three Current Procedural. Terminology (CPT) codes under Medicare: 98940 (chiropractic manipulative treatment; spinal, one to two regions), 98941 (three to four regions), and 98942 (five regions). When submitting manipulation claims, doctors of chiropractic must use an Acute Treatment (AT) modifier. To identify services that are active/corrective treatment of an acute or chronic subluxation. The AT modifier, when used appropriately, should indicate an expectation of functional improvement. No matter the chronic nature or redundancy of the matter.
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