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Billing and Coding Guidelines for Chiropractic Services ...

Billing and Coding Guidelines for Chiropractic Services (L34585): CMS National Coverage Policy Italicized font -represents CMS national language/wording copied directly from CMS Manuals or CMS Transmittals. Contractors are prohibited from changing national language/wording. Coverage Guidelines AT modifier Effective for Services rendered on or after 10/01/2004 For Medicare purposes, the AT modifier shall now be used only when chiropractors bill for active/corrective treatment. CR 3449 requires that every Chiropractic claim (those containing HCPCS code 98940, 98941, 98942) with a date of service on or after October 1, 2004, to include the Acute Treatment (AT) modifier if active/corrective treatment is being performed. The AT modifier must not be placed on the claim when maintenance therapy has been provided.

Nov 01, 2014 · Added L34585 to Billing and Coding Guideline title. 03/01/2016 Annual review no change in coverage. 12/01/2015 Updated information under CMS National Coverage Policy. 04/01/2015 Annual review, no change in coverage, removed underlining, updated CMS reference. 11/01/2014 Removed outdated information for placing diagnosis codes in position 1, 2 ...

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Billing and Coding Guidelines Title

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