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Chiropractic billing

We are a medical billing company specializing in a few listed specialties. One of the chosen specialty is Chiropractic billing where we have developed our expertise over an inspiring 15 years. Our Chiropractors are spread across various states and will be more than happy to give us a referral.

The most critical factor in claiming accurate reimbursement lies in understanding the multiple coding systems that covers various services, the Payor regulations in various states, Modifier requirements, Authorization and Referral requirements, Benefits of various plans and the frequency of visits that are allowed for a plan. We even keep track of the allowed and utilized visits, to avoid denials and the necessity for a retro authorization.

Our thorough Chiropractic knowledge, experience and our best billing practices ensure optimal reimbursements.

Procedures performed by Chiropractors

A biller should be familiar with ICD-10-CM, CPT and HCPS level II coding systems. HCPS level II codes (Healthcare Common Procedure Coding System) are normally referred as National code, which is annually published and maintained by the Centers for Medicare and Medicaid Services (CMS). For most of the Chiropractic visits, CPT codes 98940-98942 (Spinal) and 98943 (Extra spinal) are used.

Regions of the Spine (for 98940 through 98942)

1. Cervical (includes atlanto-occipital joint)

2. Thoracic (including costovertebral and costotransverse, excluding anterior rib cage/costosternal)

3. Lumbar

4. Sacral

5. Pelvic (sacro-iliac joint)

The procedure codes are

98940 - 1 to 2 regions of the spine manipulated

98941 - 3 to 4 regions of the spine manipulated

98942 - 5 regions of the spine manipulated

Regions of the Extraspinal (98943)

1. Head (including temporomandibular joint, excluding the atlantooccipital)

2. Lower Extremities

3. Upper Extremities

4. Sacral

95831 – 95857 MUSCLE TESTING AND RANGE OF MOTION TESTING
95992 CANOLITH REPOSITIONING PROCEDURE(S) (e.g., Epley maneuver, Semont maneuver), per day
97010 CRYOTHERAPY
97010 CRYOTHERAPY
97010 HOT OR COLD PACKS Unattended One or more areas is one unit of service
97012 TRACTION (MECHANICAL) Unattended One or more areas is one unit of service
97014 ELECTRICAL STIMULATION, INTERFERENTIAL THERAPY, HORIZONTAL THERAPY Unattended
97024 DIATHERMY (e.g., microwave)
97026 INFRARED Unattended One or more areas is one unit of service
97032 ELECTRICAL STIMULATION (MANUAL) Attended One or more areas 15 minutes is one unit of service
97035 ULTRASOUND Attended One or more areas 15 minutes is one unit of service
97039 ICE MASSAGE/ICE THERAPY UNLISTED MODALITY
97039 MCCONNELL STRAPPING/TAPING
97039 MICROCURRENT STIMULATION THERAPY
97110 THERAPEUTIC PROCEDURE Attended One or more areas 15 minutes is one unit of service
97112 NEUROMUSCULAR RE EDUCATION
97124 MASSAGE Attended One or more areas 15 minutes is one unit of service This service requires direct contact of the clinician.
97140 MANUAL THERAPY TECHNIQUES Attended One or more areas 15 minutes is one unit of service APPLIED KINESIOLOGY
97530 THERAPEUTIC ACTIVITIES Attended 15 minutes is one unit of service.
98925, 98926, 98927, 98928, 98929 OSTEOPATHIC MANIPULATIVE TREATMENT (OMT)
S3900 SURFACE EMG (SEMG)
S8948 APPLICATION OF A MODALITY TO ONE OR MORE AREAS Requires constant provider attendance Low level laser Each 15 minutes
S9090 National S Code VERTEBRAL AXIAL DECOMPRESSION THERAPY Per session