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Chiropractic CPT Code

     Chiropractic CPT codes, or Current Procedural Terminology Codes, are the codes that are used to describe the services performed by a provider to a patient for the purpose of medical insurance billing.  There are certain CPT codes that are specific to Chiropractic. 

     The manipulation codes are from 98940 to 98943 dependent upon the number of areas the chiropractor works on.  New York State Medicare  reimburses chiropractors for these codes only.  They will not cover any other services provided by chiropractors.

     Some of the commercial insurance companies reimburse chiropractors a global fee.  That is they allow a certain dollar amount per visit, no matter what services were performed or what CPT codes are billed.

     Many chiropractors bill for modalities in addition to the manipulation or office visit codes.  Modality codes usually range from 97010 - 97530. Some insurance companies will pay for the modalities also.

     These CPT codes along with the ICD9 diagnosis codes are used in insurance billing to indicate both the diagnosis of the patient and the procedure performed by the physician. The diagnosis can be a very important part of the billing process.

     These codes are available in books published by the American Medical Association and others.  There are books available that just contain the CPT codes that are specific to chiropractors.  These books are usually better since there are so many other CPT codes that are not relevant to a chiropractor.  We have also written a book on chiropractic billing. You can read more about it here.  

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