CPT^® 98943, Under Chiropractic Manipulative Treatment Procedures

The Current Procedural Terminology (CPT^®) code 98943 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 or more extraspinal regions.

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Humana denied code 98943 because of inappropriate modifier

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

Humana denied code 98943 because of inappropriate modifier

What did you bill on the claim with 98943? Please list modifiers, diagnoses, and other procedure codes. Thanks.... [ 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 ]

97124 with mod 59

[QUOTE="aime1369, post: 463359, member: 583236"] I am having some trouble getting 97124-59-GP paid through Triwest Choice program if anyone can help? The code has been pre-authorized by them however ... [ Read More ]

97124 with mod 59

I am having some trouble getting 97124-59-GP paid through Triwest Choice program if anyone can help? The code has been pre-authorized by them however it is being denied per Medicare "line is being di... [ Read More ]

Medicare Denials

Did you bill the adjustment code with a AT modifier? If you billed 98940 - 98942 with an AT they should cover it, but if it was 98943 they will not cover that.... [ Read More ]

97124 reimbursement

[QUOTE="LaurenDeVore, post: 418333, member: 437019"]Does anyone know why Medicare has an allowed amount on their fee schedule for 97124 if it is a non-covered service? Is this just the amount that you... [ Read More ]

Billing CPT Code 90714

[b]Use AT Modifier[/b] [QUOTE="rissa1017, post: 401416, member: 411450"]Add an AT modifier to 90714. This is the only way that our primary care clinic will receive reimbursement from Medicare on this... [ Read More ]

Template for 98940-98943 Medicare

Hi I am trying to find a good template to assist our chiropractor in improving his/her documentation for Medicare. If anyone has anything they would be willing to share I would be so very thankful. ... [ Read More ]

98941 & 97140

[b]unlikely to get paid?[/b] In our office, 97140 is usually bundled with the spinal manipulation by our payers. It can be paid when performed alone, or when appealed with documentation. Our provider... [ Read More ]

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