CPT^® 98940, Under Chiropractic Manipulative Treatment Procedures

The Current Procedural Terminology (CPT^®) code 98940 as maintained by American Medical Association, is a medical procedural code under the range - Chiropractic Manipulative Treatment Procedures.

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Summary

The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.

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MODIFIERS
ICD-10-CM

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Use of ABN for Non-covered services with a CO denial

[USER=762881]@lorettah[/USER] Yes we have tried GA, GY and GP. These are other modalities codes bill with the manipulation codes for chiro. Example - 98940, 98941, or 98942 billed with 97012. Some pay... [ Read More ]

Humana denied code 98943 because of inappropriate modifier

98940 AT, 98943 AT XS... [ Read More ]

Humana denied code 98943 because of inappropriate modifier

Humana has been denying charges for inappropriate modifiers for PT charges codes like 97110 or 97140 and now also for 98943 (chiropractic extraspinal adjustment). For the PT charge codes, I was able t... [ Read More ]

Chiropractic Billing

Does anyone bill cpt 98940 and cpt 97035 on the same claim and get paid?... [ Read More ]

Modifier AT

Hi - I found a reference to AT in a 2016 Illinois healthcare handbook, but it doesn't address your question clearly (plus rules may have changed since then): "Performance of a procedure that renders a... [ Read More ]

Documentation and billing for 98940, 97140 and 97110 on the same day

We recently added a chiropractor, a message therapist and a rehabilitation tech to our group. I have never billed for chiropractic services and want to ensure that the documentation supports the serv... [ Read More ]

Humana Denials

Just off the top of my head...if this is a Medicare Replacement, then PT codes may not be covered per MC guidelines. MC only pays for 98940-98942 with mod AT. All other codes will deny.... [ Read More ]

billing 98940 and 97112

Hello, There has been some questioning in my office about billing 97112 with CMT codes 98940-98942. There is a lot of information online stating these two codes cannot be billed together unless appr... [ Read More ]

Chiropractic Billing question chiropractors

I currently am the biller for a local chiropractor and I am having trouble processing a claim. Our client's daughter is 3 months and she's been diagnosed with M99.01 and M99.02 and her CPT code is 989... [ Read More ]

Chiropractor billing out under another provider

When is it okay for a chiropractor to bill out under another provider, such as a pain management doctor? Would the codes remain the same for the chiro, including the CPTs 98940-43.... [ Read More ]

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