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CPT® code
Can a Chiropractor bill 97110 by it's self? No adjustment or modalities.
re: CPT® code
Medicare: Coverage of chiropractic service is specifically limited to treatment by means of manual manipulation (i.e., by use of hands) of the spine for the purpose of correcting a subluxation. If a chiropractor orders, takes or interprets an x-ray or other diagnostic procedure to demonstrate a subluxation of the spine, the x-ray can be used for documentation. However, there is no coverage or payment for these services or for any other diagnostic or therapeutic service ordered or furnished by a chiropractor. Two diagnostic codes must be listed on the claim to support medical necessity:
• The level of subluxation must be specified on the claim and must be listed as the
primary diagnosis. The level of subluxation identified and under treatment will be in
the range 739.X.
• The associated neuromusculoskeletal condition necessitating the treatment must also be listed as the secondary diagnosis.
CPT® codes include: 98940 Chiropractic manipulative treatment (CMT); spinal, one to two regions; 98941 spinal, three to four regions; 98942 spinal, five regions.
Does NOT include code 97110.
re: CPT® code
That didn't really answer my question.
re: CPT® code
Then I do not understand the question.
re: CPT® code
I have a Chiropractor that I bill for and she would like to bill insurance for 97110 CPT® code only for some patients.